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
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- EP ID EP277618
- DOI 10.14260/jemds/2017/1282
- Views 68
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