Laparoskopische Diagnostik und organerhaltende Therapie der Ovarialgravidität
| Autor: | P. Lang, W. Hönigl, A. Giuliani, M. Klimpfinger, O. Reich, W. Walcher |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Gynecology
endocrine system medicine.medical_specialty medicine.diagnostic_test Ectopic pregnancy Ovarian Cortex business.industry Obstetrics and Gynecology Gestational age Ovary medicine.disease Endoscopy medicine.anatomical_structure Maternity and Midwifery medicine Gestation Ovarian pregnancy business Laparoscopy |
| Zdroj: | Geburtshilfe und Frauenheilkunde. 57:417-421 |
| ISSN: | 1438-8804 0016-5751 |
| Popis: | A series of 8 cases of ovarian pregnancy was diagnosed and treated by laparoscopy. The incidence of ovarian pregnancy was 1/1439 deliveries and 2.2/100 ectopic gestations. The median gestational age was 50 days (41-65). The median serum hCG level was 3450 mlU/mL (range 167-> 20000 mIU/mL). Preservation of the ovary was achieved in 8/8 cases: a cystic ovarian pregnancy was stripped in 4/8 cases; in 4/8 cases superficial trophoblastic tissue was removed from the ovarian cortex and the implantation site was treated with bipolar coagulation. Histological proof of trophoblastic tissue was given in 8/8 cases. The postoperative course was uneventful and serum hCG declined below the level of detectability (5 mlU/mL) within 8-46 (median 22) days. Early diagnosis and organ preserving treatment can be achieved by laparoscopy. |
| Databáze: | OpenAIRE |
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