A STUDY ON TUBAL PATENCY FOLLOWING MANAGEMENT OF TUBAL PREGNANCY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 59
Abstract
BACKGROUND A tubal ectopic pregnancy is one in which blastocyst implants in fallopian tube. Ectopic pregnancy accounts for 1-2% of total pregnancies and 95% of them are tubal ectopic. It is an important cause of morbidity and mortality in the reproductive age group. A woman with two ectopic pregnancies has a 10-fold chance for another. Aims & Objectives- To study tubal patency following management of tubal ectopic pregnancy. MATERIALS AND METHODS A descriptive study of duration of 1 year, 50 cases from OB/GYN Dept., BRD Medical College, Gorakhpur. RESULTS Out of 50 cases, 30 cases were managed by surgery, 12 by methotrexate and 8 by expectant method. Free passage of dye was seen in contralateral tube 91%, 87%, 83.3% following methotrexate, expectant and surgical method respectively. There was statistically significant difference among groups. Free passage through the ipsilateral tube after MTX treatment was seen in 83% of the cases (10 out of 12). After expectant management, it was seen in 75% of the cases (6 out of 8). Difference was not significant. CONCLUSION Clinical treatment and surgery affect the contralateral tubal patency differently. Medical therapy should be preferred, if feasible.
Authors and Affiliations
Surjeet Kumar Yadav, Renu Sangal, Reeta Singh, Harish Chandra Tiwari, Neela Rai Sharma, Reena Shrivastava
Keywords
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- EP ID EP226329
- DOI 10.14260/Jemds/2017/941
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