KNIFELESS MANAGEMENT OF EARLY ECTOPIC PREGNANCY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 85
Abstract
BACKGROUND Ectopic pregnancy (EP) always demands surgical management. But with advent of modern diagnostic approaches with serum ß- HCG with high resolution TVS, now it is possible to diagnose early EP. Methotrexate (Mtx) is a promising drug to manage these patients conservatively and results are equivalent to surgery. We have shown it in our study. MATERIALS AND METHODS Uncontrolled clinical trial of 63 cases of medical management of EP was undertaken. These 63 patients fulfilled the selection criteria and rest were excluded from our study. Demographic data, clinical presentation and treatment outcome were captured. All patients were managed indoor and side effect of the treatment and treatment failures were identified early by followup and then managed. RESULTS From January 2013 to April 2016, 63 patients with EP were successfully treated with intramuscular Mtx, only 4 patients required laparotomy. No major side effects were noted, but mild pain in abdomen. Their fertility outcomes were also preserved. CONCLUSION Systematic Mtx injection is safer and alternative to surgical procedure of selective early EP. But prior criteria must be fulfilled and constant followup is needed to identify failure cases and complications.
Authors and Affiliations
Mousumi Dutta, Nibedita Chattopadhyay, Sandhya Das, Dipankar Gupta, Gourango Sarkar, Arghya Maitra, Ibadahun Suchiang, Rajsekhar Saha
Keywords
Related Articles
- EP ID EP277618
- DOI 10.14260/jemds/2017/1282
- Views 100
- Downloads 0
MRI STANDARD TECHNICAL PROTOCOL VERSUS ADVANCED HEPATOBILIARY PROTOCOL IN DIAGNOSING SOLITARY CYSTIC HEPATIC LESIONS
BACKGROUND Solitary cystic liver lesions are not uncommon, comes with varying age groups. To decide surgical approach and treatment planning of cystic mass lesion, specific diagnosis with high sensitivity and specificity...
BEWARE OF MASQUERADERS- ATYPICAL PRESENTATION OF BRONCHOGENIC CARCINOMA
PRESENTATION OF CASE A 56-year-old male presented with complaints of cough with expectoration for 3 months duration and fever for 15 days. He had no associated complaints of breathlessness, wheeze, loss of weight and app...
A STUDY ON AETIOLOGY AND OUTCOME OF SHOCK IN CHILDREN
BACKGROUND Shock is one of the most common paediatric emergencies with significant mortality if not recognized and treated early. There are five major categories of shock, of which septic shock is increasing in incidence...
RANDOMIZED CLINICAL TRIAL TO COMPARE THE INCIDENCE OF RESIDUAL NEUROMUSCULAR BLOCK FOLLOWING PANCURONIUM AND ATRACURIUM USING TRAIN OF FOUR RATIO
[b]BACKGROUND:[/b] Several clinical studies have reported that significant number of patients receiving non depolarizing muscle relaxants during general anesthesia show postoperative residual neuromuscular block when...
EVALUATION ON ECG TRAINING PROGRAM FOR INTERNS AND POSTGRADUATES
BACKGROUND The electrocardiography is a basic and commonly used diagnostic test, which is really expected to know by the resident doctors and also by interns. There is no structured teaching methods for this. So, we inte...