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Tábata Longo da Silva Machado,Alysson Zanatta,Larissa Gonçalves Braz Santos,Rafaella Ferreira de Araújo Litvin,Lizandra Moura Paravidine Sasaki,Júlio Elito Júnior,Edward Araujo Júnior,Alberto Moreno Z 대한산부인과학회 2019 Obstetrics & Gynecology Science Vol.62 No.6
The objective of this study was to evaluate the feasibility of posterior colpotomy for the surgical treatment oftubal ectopic pregnancy in hemodynamically stable women. We performed a retrospective analysis of medicalrecords obtained over a period of 18 months. Twelve cases were identified, with the following characteristics: meangestational age, 7.7 weeks; mean serum β-human chorionic gonadotropin level, 7,786 mIU/mL; and greater diameterof the mass, 15–69 mm. Treatment was successful in all cases. Salpingectomy was performed in 10 patients (83.3%)and salpingostomy, in 1 patient. The remaining patient only received peritoneal lavage, as the evidence of ectopicabortion with only a slightly dilated uterine tube was found during surgery. The mean surgical time was 42.5 minutes. In the analyzed cases, posterior colpotomy was found to be a feasible alternative method for the surgical treatmentof tubal ectopic pregnancy in hemodynamically stable women.