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- W2040982852 abstract "Medical treatment with methotrexate is now suc- cessfully replacing conservative surgical treatment in selected patients. We reviewed patients treated with methotrexate, compared to salpingectomy and sal- pingostomy between 1990 to 1995 and 2000 to 2003. For 1990 - 1995 there were 21 conservative surgical treatments (5.3% ectopic pregnancies). The ratio of ectopic to normal deliveries was 1:24. Medical treat- ment was done for 19 pregnancies (3.4% of ectopic pregnancies) for 2000 to 2003. During the period there was an ectopic rate of 1:16.8 births. Patients treated medically were similar to those treated sur- gically except that none reportedly having rebound tenderness and only 1/18 having an ultrasound scan showing a foetal heart and none with a gestational sac > 4 cm. In the medically treated group the success rate was 68% while in the surgically treated groups success was 100%. There was no significant differ- ence in the parameters in the conservative surgical and medically treated groups." @default.
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- W2040982852 date "2011-01-01" @default.
- W2040982852 modified "2023-10-02" @default.
- W2040982852 title "Conservative treatment of unruptured Ectopic pregnancy in Jamaica" @default.
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- W2040982852 doi "https://doi.org/10.4236/ojog.2011.11002" @default.
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