Treatment experiences about uterine horn ectopic pregnancy
Introduction: Interstitial pregnancy is rare and its mortality is higher than in other locations. Its increasingly early diagnosis allows the choice of less aggressive treatments. The cornerstone is hemostasis. Objective: To describe the results of the treatment of patients treated for ectopic horn...
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| Format: | Article |
| Language: | Spanish |
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Editorial Ciencias Médicas - ECIMED
2020-10-01
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| Series: | Revista Cubana de Medicina Militar |
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| Online Access: | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/678 |
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| author | Iraisa León Cid Guillermo Rodríguez Iglesias Anadys Beatriz Segura Fernández |
| author_facet | Iraisa León Cid Guillermo Rodríguez Iglesias Anadys Beatriz Segura Fernández |
| author_sort | Iraisa León Cid |
| collection | DOAJ |
| description | Introduction: Interstitial pregnancy is rare and its mortality is higher than in other locations. Its increasingly early diagnosis allows the choice of less aggressive treatments. The cornerstone is hemostasis.
Objective: To describe the results of the treatment of patients treated for ectopic horn pregnancy.
Method: A descriptive study was carried out in 18 women with interstitial ectopic pregnancy, treated at the Hospital Militar Central "Dr. Luis Díaz Soto" from 2010 to 2019. They were treated by laparotomy and circular suture of the horn, with subsequent cornual resection and extraction of ovular material. The variables age, risk factors, surgical time, intraoperative bleeding, evolution (complications, recovery, beta fraction of chorionic gonadotropin, postoperative ultrasound controls) and hospital stay were studied.
Results: 72% of the patients were between 20 - 25 years old, 61.1% had a history of induced abortions, followed by pelvic inflammatory disease in 44.4%. The mean surgical time was 36 minutes. No patient had bleeding at the surgery site. The beta fraction of chorionic gonadotropin was negative at the fourth week and postoperative ultrasound controls of all patients were normal on day 15. The drawstring suture was used in all patients.
Conclusions: The results in the treatment of the patients attended for interstitial pregnancy were favorable, the repair of the uterine wall was carried out by means of a safe procedure that showed the applicability of the drawstring suture. Blood loss and complications such as hysterectomy were avoided. |
| format | Article |
| id | doaj-art-adb07cdb30d2437c9d1b81f065ae7beb |
| institution | OA Journals |
| issn | 1561-3046 1561-3046 |
| language | Spanish |
| publishDate | 2020-10-01 |
| publisher | Editorial Ciencias Médicas - ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj-art-adb07cdb30d2437c9d1b81f065ae7beb2025-08-20T01:55:05ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30461561-30462020-10-01494e0200678e0200678292Treatment experiences about uterine horn ectopic pregnancyIraisa León Cid0Guillermo Rodríguez Iglesias1Anadys Beatriz Segura Fernández2Hospital Militar Central "Dr. Luis Diaz Soto". La Habana, CubaHospital Militar Central "Dr. Luis Diaz Soto". La Habana, CubaHospital Militar Central "Dr. Luis Diaz Soto". La Habana, CubaIntroduction: Interstitial pregnancy is rare and its mortality is higher than in other locations. Its increasingly early diagnosis allows the choice of less aggressive treatments. The cornerstone is hemostasis. Objective: To describe the results of the treatment of patients treated for ectopic horn pregnancy. Method: A descriptive study was carried out in 18 women with interstitial ectopic pregnancy, treated at the Hospital Militar Central "Dr. Luis Díaz Soto" from 2010 to 2019. They were treated by laparotomy and circular suture of the horn, with subsequent cornual resection and extraction of ovular material. The variables age, risk factors, surgical time, intraoperative bleeding, evolution (complications, recovery, beta fraction of chorionic gonadotropin, postoperative ultrasound controls) and hospital stay were studied. Results: 72% of the patients were between 20 - 25 years old, 61.1% had a history of induced abortions, followed by pelvic inflammatory disease in 44.4%. The mean surgical time was 36 minutes. No patient had bleeding at the surgery site. The beta fraction of chorionic gonadotropin was negative at the fourth week and postoperative ultrasound controls of all patients were normal on day 15. The drawstring suture was used in all patients. Conclusions: The results in the treatment of the patients attended for interstitial pregnancy were favorable, the repair of the uterine wall was carried out by means of a safe procedure that showed the applicability of the drawstring suture. Blood loss and complications such as hysterectomy were avoided.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/678embarazo ectópico del cuernoembarazo intersticialembarazo cornualtratamiento quirúrgicosutura en jareta. |
| spellingShingle | Iraisa León Cid Guillermo Rodríguez Iglesias Anadys Beatriz Segura Fernández Treatment experiences about uterine horn ectopic pregnancy Revista Cubana de Medicina Militar embarazo ectópico del cuerno embarazo intersticial embarazo cornual tratamiento quirúrgico sutura en jareta. |
| title | Treatment experiences about uterine horn ectopic pregnancy |
| title_full | Treatment experiences about uterine horn ectopic pregnancy |
| title_fullStr | Treatment experiences about uterine horn ectopic pregnancy |
| title_full_unstemmed | Treatment experiences about uterine horn ectopic pregnancy |
| title_short | Treatment experiences about uterine horn ectopic pregnancy |
| title_sort | treatment experiences about uterine horn ectopic pregnancy |
| topic | embarazo ectópico del cuerno embarazo intersticial embarazo cornual tratamiento quirúrgico sutura en jareta. |
| url | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/678 |
| work_keys_str_mv | AT iraisaleoncid treatmentexperiencesaboututerinehornectopicpregnancy AT guillermorodrigueziglesias treatmentexperiencesaboututerinehornectopicpregnancy AT anadysbeatrizsegurafernandez treatmentexperiencesaboututerinehornectopicpregnancy |