scholarly journals Surgical treatment of tubal ectopic pregnancy through posterior colpotomy: experience from a Brazilian university hospital

2019 ◽  
Vol 62 (6) ◽  
pp. 487
Author(s):  
Tábata Longo da Silva Machado ◽  
Alysson Zanatta ◽  
Larissa Gonçalves Braz Santos ◽  
Rafaella Ferreira de Araújo Litvin ◽  
Lizandra Moura Paravidine Sasaki ◽  
...  
2013 ◽  
Vol 84 (12) ◽  
Author(s):  
Marta Kostrzewa ◽  
Monika Żyła ◽  
Dorota Kolasa-Zwierzchowska ◽  
Artur Szpakowski ◽  
Grzegorz Stachowiak ◽  
...  

2020 ◽  
Author(s):  
Bárbara Virginia Gonçalves Tavares ◽  
Letícia Sathler Delfino ◽  
Isabella Silvestre Ignarro ◽  
Luiz Baccaro

Abstract Background: to evaluate the use of different treatment options for ectopic pregnancy and the frequency of severe complications in a university hospital. Methods: observational study with women with ectopic pregnancy admitted at UNICAMP Women´s Hospital, Brazil, between 01/01/2000 and 12/31/2017. The outcome variables were the type of treatment (first choice) and the presence of severe complications. Independent variables were clinical and sociodemographic data. Statistical analysis was carried out by the Cochran–Armitage test, chi-square test, Mann–Whitney test and multiple Cox regression. Results: 673 women were included in the study. The mean age was 29.0 years (±6.1) and the mean gestational age was 7.7 (±2.5). The frequency of surgical treatment decreased significantly over time (z=-4.69; p<0.001). Conversely, there was a significant increase in the frequency of clinical treatment (z=4.73; p<0.001). Seventy-one women (10.5%) developed some type of severe complication. In the final statistical model, the prevalence of severe complications was higher in women who were diagnosed with a ruptured ectopic pregnancy at admission (PR=2.97; 95%CI: 1.61–5.46), did not present with vaginal bleeding (PR=2.45; 95%CI: 1.41–4.25), had never undergone laparotomy/laparoscopy (PR=6.69; 95%CI: 1.62–27.53), had a non-tubal ectopic pregnancy (PR=4.61; 95%CI: 1.98–10.74), and do not smoke (PR=2.41; 95%CI: 1.08–5.36). Conclusion: there was a change in the first treatment option for cases of ectopic pregnancy in the hospital during the period of analysis. Factors inherent to a disease that is more difficult to treat are related to a higher frequency of severe complications.


Author(s):  
Amanda Thaysa de Oliveira Cruz ◽  
Samara Dourado Matos ◽  
Kevia Katiúcia Santos Bezerra ◽  
Kamila Nethielly Souza Leite ◽  
Anne Milane Formiga Bezerra ◽  
...  

2015 ◽  
Vol 22 (6) ◽  
pp. S250 ◽  
Author(s):  
A Zanatta ◽  
T Maia ◽  
E Zingler ◽  
PR Reis ◽  
CA Alfredo Filho ◽  
...  

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