Surgical treatment of tubal ectopic pregnancy through posterior colpotomy: experience from a Brazilian university hospital

• Main Authors: Tábata Longo da Silva Machado, Alysson Zanatta, Larissa Gonçalves Braz Santos, Rafaella Ferreira de Araújo Litvin, Lizandra Moura Paravidine Sasaki, Júlio Elito Júnior, Edward Araujo Júnior, Alberto Moreno Zaconeta
• Format: Article
• Language: English
• Published: Korean Society of Obstetrics and Gynecology 2019-11-01
• Series: Obstetrics & Gynecology Science
• Subjects: tubal pregnancy; operative surgical procedures; colpotomy
• Online Access: http://ogscience.org/upload/pdf/ogs-62-487.pdf

The objective of this study was to evaluate the feasibility of posterior colpotomy for the surgical treatment of tubal ectopic pregnancy in hemodynamically stable women. We performed a retrospective analysis of medical records obtained over a period of 18 months. Twelve cases were identified, with the following characteristics: mean gestational age, 7.7 weeks; mean serum β-human chorionic gonadotropin level, 7,786 mIU/mL; and greater diameter of the mass, 15–69 mm. Treatment was successful in all cases. Salpingectomy was performed in 10 patients (83.3%) and salpingostomy, in 1 patient. The remaining patient only received peritoneal lavage, as the evidence of ectopic abortion with only a slightly dilated uterine tube was found during surgery. The mean surgical time was 42.5 minutes. In the analyzed cases, posterior colpotomy was found to be a feasible alternative method for the surgical treatment of tubal ectopic pregnancy in hemodynamically stable women.