Laparoscopic salpingostomy versus laparoscopic local methotrexate injection in the management of unruptured ectopic gestation

Article Abstract:

Two methods of treating intact tubal pregnancies, salpingostomy and methotrexate injections into the growing cells, appear to be equally safe and effective. Salpingostomy is a surgical procedure to widen the fallopian tube and remove the pregnancy. Forty-eight intact tubal pregnancies were removed with either salpingostomy or methotrexate. The group treated by salpingostomy were in surgery longer but in the hospital a shorter amount of time than those treated with methotrexate. Eighty-one percent of the methotrexate group and 83.5% of the salpingostomy group later had normal pregnancies.

Author: Golan, Abraham, Bukovsky, Ian, Pansky, Mordechai, Zilber, Uri
Health aspects, Care and treatment, Laparoscopic surgery

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Analysis of three hundred fifteen ectopic pregnancies treated with single-dose methotrexate

Article Abstract:

A single intramuscular dose of methotrexate appears to be successful in treating an ectopic pregnancy. An ectopic pregnancy occurs when the fertilized egg implants in the Fallopian tubes rather than the uterus. Researchers gave a single intramuscular injection of methotrexate to 315 women with an unruptured ectopic pregnancy. The treatment was repeated if their blood levels of human chorionic gonadotropin did not decrease. This treatment was effective in 93% of the women.

Author: Lipscomb, Gary H., Ling, Frank W., McCord, Marian L., Bran, Derita, Portera, J. Chris
Drug therapy

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Subjects list: Evaluation, Pregnancy, Ectopic, Ectopic pregnancy, Methotrexate
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