Evidence map›Paper›PMID 38911310›Full record

ArticleGynecology and minimally invasive therapy

Surgical Outcomes and Trends in Incidence of Ectopic Pregnancy.

Hiroyuki Yazawa, Riho Yazawa, Ryo Matsuoka, Miki Ohara

Abstract read
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Article in Gynecology and minimally invasive therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Hiroyuki YazawaDepartment of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima Medical University, Fukushima, Japan.
Riho YazawaDepartment of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima Medical University, Fukushima, Japan.
Ryo MatsuokaDepartment of Obstetrics and Gynecology, Fukushima Medical University, Fukushima, Japan.
Miki OharaDepartment of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima Medical University, Fukushima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: We aimed to evaluate the surgical results for ectopic pregnancy (EP) treated at Fukushima Red Cross Hospital for over a 20-year period from 2002 to 2021. Materials and Methods: We evaluated the incidence, surgical procedures, site of implantation, amount of hemoperitoneum, and the proportion of cases with risk factors of EP. Results: Two hundred and fifty-nine cases of EP were treated surgically. The incidence of EP seemed to be gradually decreasing in recent years. By pregnancy site, 235 (90.7%) of EPs were tubal pregnancies (TPs), 13 in interstitial pregnancies (IPs), 7 in ovarian pregnancies, and 4 in peritoneal pregnancies. For IPs, human chorionic gonadotropin (hCG) levels were statistically higher than with TP and intraperitoneal bleeding was less than with other EP sites. Thirty-nine patients (15.0%) were with massive hemoperitoneum (>500 mL), and laparoscopic surgery was performed in all patients with massive hemoperitoneum except in two patients. The proportion of cases with risk factors for EP such as Conclusion: Appropriate surgical intervention should be selected while considering such as facility capabilities, context, and surgeon skill, especially in critical cases, such as cases involving massive hemoperitoneum and hemorrhagic shock. The recent presumed decrease in the occurrence of EP may partly be associated with the decrease in the occurrence of risk factors.

Indexed as

Ectopic pregnancyepidemiologylaparoscopic surgeryrisk factorsserum human chorionic gonadotropin level

Identifiers

PMID38911310
PMCPMC11192286

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