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- W2891065481 abstract "A 31-year-old woman presented at 9 weeks of gestation with heavy bleeding and a known cervical ectopic pregnancy having failed medical management at another institution previously. Speculum examination showed active bleeding and a ballooned cervix. An ultrasound revealed a cervical ectopic pregnancy of 9 weeks with cardiac activity [ 1 Leeman LM Wendland CL Cervical ectopic pregnancy. Diagnosis with endovaginal ultrasound examination and successful treatment with methotrexate. Arch Fam Med. 2000; 9: 72-77 Crossref PubMed Scopus (79) Google Scholar ]. Intraoperatively, the posterior cervix bulged. Bilateral internal iliac artery ligation was performed using a Vicryl no. 1 suture (Ethicon Inc., Somerville, NJ) [ 2 Kung FT Lin H Hsu TY et al. Differential diagnosis of suspected cervical pregnancy and conservative treatment with the combination of laparoscopy-assisted uterine artery ligation and hysteroscopicendocervical resection. Fertil Steril. 2004; 81: 1642-1649 Abstract Full Text Full Text PDF PubMed Scopus (72) Google Scholar ]. Bilateral ovarian artery clipping was done with vascular clips at the infundibulopelvic ligament (Fig.1). Dilute vasopressin was injected into the uterus (Fig.2A). The products of conception were evacuated via an incision over the ectopic pregnancy (Fig.2B). The bed was sutured with a no. 1 barbed suture, and 50mg methotrexate was injected (Fig.2C). Ovarian artery clips were then removed. Blood loss was <100mL. Fig.2(A) Dilute injection of vasopressin into the uterus. (B) Products of conception evacuated. (C) The bed sutured with a barbed suture and a 50-mg injection of methotrexate into the bed. View Large Image Figure Viewer Download Hi-res image" @default.
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- W2891065481 date "2019-05-01" @default.
- W2891065481 modified "2023-09-23" @default.
- W2891065481 title "Laparoscopic Management of Cervical Ectopic Pregnancy with Devascularization" @default.
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- W2891065481 doi "https://doi.org/10.1016/j.jmig.2018.09.769" @default.
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