A Systematic Review about Cervical Pregnancy and our Experience
Background: Cervical ectopic pregnancy is a relatively rare type of ectopic pregnancy and has no standardized guidelines for management.Methods: This systematic review is based on the collection of case reports, published in PubMed/MEDLINE about the resolution of ectopic cervical pregnancies over t...
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2024-05-01
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| Series: | Acta Medica Lituanica |
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| Online Access: | https://www.journals.vu.lt/AML/article/view/32903 |
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| author | Konstantinos Nikolettos Efthymios Oikonomou Sonia Kotanidou Nektaria Kritsotaki Dimitrios Kyriakou Panagiotis Tsikouras Emmanouil Kontomanolis Angeliki Gerede Nikos Nikolettos |
| author_facet | Konstantinos Nikolettos Efthymios Oikonomou Sonia Kotanidou Nektaria Kritsotaki Dimitrios Kyriakou Panagiotis Tsikouras Emmanouil Kontomanolis Angeliki Gerede Nikos Nikolettos |
| author_sort | Konstantinos Nikolettos |
| collection | DOAJ |
| description |
Background: Cervical ectopic pregnancy is a relatively rare type of ectopic pregnancy and has no standardized guidelines for management.Methods: This systematic review is based on the collection of case reports, published in PubMed/MEDLINE about the resolution of ectopic cervical pregnancies over the last decade and the presentation of a case managed in our healthcare unit. Studies involving cervical pregnancy in the first trimester with the presence of a viable embryo and β-hCG in the serum below 100.000 mIU/mL were included, while heterotopic pregnancies were excluded.Results: Nineteen articles reporting twenty-three case reports are demonstrated explicitly emphasizing on the management techniques. There is no established approach for the management of this type of ectopic pregnancy.Conclusion: It is important to consider the conservative approaches as first-line treatment in all cases of cervical pregnancy preserving fertility. Minimally invasive methods are also described and preferred as second-line treatment, as reported in our literature review.
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| format | Article |
| id | doaj-art-d34e8fcd4c934a35b48d511c6a6b3746 |
| institution | Kabale University |
| issn | 1392-0138 2029-4174 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Acta Medica Lituanica |
| spelling | doaj-art-d34e8fcd4c934a35b48d511c6a6b37462025-01-20T18:08:00ZengVilnius University PressActa Medica Lituanica1392-01382029-41742024-05-0131110.15388/Amed.2024.31.1.13A Systematic Review about Cervical Pregnancy and our ExperienceKonstantinos Nikolettos0Efthymios Oikonomou1Sonia Kotanidou2Nektaria Kritsotaki3Dimitrios Kyriakou4Panagiotis Tsikouras5Emmanouil Kontomanolis6Angeliki Gerede7Nikos Nikolettos8Obstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceObstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceObstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceObstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceObstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceObstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceObstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceObstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceObstetric and Gynecologic Clinic, Medical School, Democritus University of Thrace, Alexandroupolis, Greece Background: Cervical ectopic pregnancy is a relatively rare type of ectopic pregnancy and has no standardized guidelines for management.Methods: This systematic review is based on the collection of case reports, published in PubMed/MEDLINE about the resolution of ectopic cervical pregnancies over the last decade and the presentation of a case managed in our healthcare unit. Studies involving cervical pregnancy in the first trimester with the presence of a viable embryo and β-hCG in the serum below 100.000 mIU/mL were included, while heterotopic pregnancies were excluded.Results: Nineteen articles reporting twenty-three case reports are demonstrated explicitly emphasizing on the management techniques. There is no established approach for the management of this type of ectopic pregnancy.Conclusion: It is important to consider the conservative approaches as first-line treatment in all cases of cervical pregnancy preserving fertility. Minimally invasive methods are also described and preferred as second-line treatment, as reported in our literature review. https://www.journals.vu.lt/AML/article/view/32903ectopic pregnancycervical pregnancymethotrexate |
| spellingShingle | Konstantinos Nikolettos Efthymios Oikonomou Sonia Kotanidou Nektaria Kritsotaki Dimitrios Kyriakou Panagiotis Tsikouras Emmanouil Kontomanolis Angeliki Gerede Nikos Nikolettos A Systematic Review about Cervical Pregnancy and our Experience Acta Medica Lituanica ectopic pregnancy cervical pregnancy methotrexate |
| title | A Systematic Review about Cervical Pregnancy and our Experience |
| title_full | A Systematic Review about Cervical Pregnancy and our Experience |
| title_fullStr | A Systematic Review about Cervical Pregnancy and our Experience |
| title_full_unstemmed | A Systematic Review about Cervical Pregnancy and our Experience |
| title_short | A Systematic Review about Cervical Pregnancy and our Experience |
| title_sort | systematic review about cervical pregnancy and our experience |
| topic | ectopic pregnancy cervical pregnancy methotrexate |
| url | https://www.journals.vu.lt/AML/article/view/32903 |
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