Tubal ectopic pregnancy: our experience from 2000 to 2013

Tubal ectopic pregnancy: our experience from 2000 to 2013

Authors

  • Roberto Berretta Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy
  • Andrea Dall'Asta Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy
  • Carla Merisio Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy
  • Michela Monica Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy
  • Letizia Lori Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy
  • Letizia Galli Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy
  • Daniele Mautone Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy
  • Tiziana Frusca Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy

Keywords:

ectopic pregnancy, tubal pregnancy, Methotrexate, salpingectomy, laparoscopic salpingectomy

Abstract

In this paper we summarize our experience in diagnosis and treatment of 402 retrospectively collected tubal EP and review the most recent topics from the literature. Systemic Methotrexate (MTX) was effective in 56 out of 65 patients (failure rate 13.8%), in whom hCG level was significantly lower when compared to the failure group (p<0,05); we performed 299 salpingectomies, 297 of whom through laparoscopic approach. MTX single-dose is safe and effective in eligible patients; surgery represents the treatment of most of the EPs, mainly through laparoscopic approach.

Author Biography

Tiziana Frusca, Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy

University of Parma

Head of Obstetrics & Gynecology Unit

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Published

14-09-2015

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Berretta R, Dall'Asta A, Merisio C, Monica M, Lori L, Galli L, et al. Tubal ectopic pregnancy: our experience from 2000 to 2013. Acta Biomed [Internet]. 2015 Sep. 14 [cited 2024 Jul. 27];86(2):176-80. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/3987