Articles Vol. 66 No. CĐ6-HNKH Bệnh viện Sản nhi Nghệ An 31/05/2025

18. RESULTS OF LAPAROSCOPIC FOR INTERSTITIAL ECTOPIC PREGNANCY AT NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL

Nguyen Huu Hoai1,2, Tran Thi Phuong1,2, Chu Trong Tuoc1,2
1 Nghe An Obstetric and Pediatric Hospital
2 Bệnh viện Sản Nhi Nghệ An
Corresponding author: huuhoaihmu0915@gmail.com
DOI: 10.52163/yhc.v66iCD6.2281
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Keywords
Laparoscopic interstitial ectopic pregnancy
Abstract

Objective: To evaluate the results of treating interstitial ectopic pregnancy by laparoscopic surgery at Nghe An Obstetrics and Pediatrics Hospital.

Materials and methods: A retrospective, cross-sectional study on 41 patients with unruptured interstitial ectopic pregnancy and indicated for laparoscopic surgery at Nghe An Obstetrics and Pediatrics Hospital from 2020 to 2023.

Results: The average β-hCG concentration before surgery was 35333 ± 32948.9 mUI/mL, 92.7% had a good decrease in β-hCG concentration after surgery. 43.9% of cases had a gestational mass size ≥ 3,5cm. Laparoscopic cornual resection accounting for 78.1%. The rate of patients without complications and with good results after surgery was 100%. The average hospital stay after surgery was 4,5 ± 0,9 days.

Conclusion: Laparoscopic surgery for interstitial ectopic pregnancy is a method with a high success rate and low complications.

References
[1]
Elsherbiny M., Lim E.T., và Ma K. (2023). Interstitial Ectopic Pregnancy: Laparoscopic Cornuostomy. J Minim Invasive Gynecol, 30(6), 439–440. Google Scholar
[2]
Schraft E. và Gottlieb M. (2022). Near fatal interstitial pregnancy. The American Journal of Emergency Medicine, 57, 235.e5-235.e8. Google Scholar
[3]
Gao M.Y., Zhu H., và Zheng F.Y. (2020). Interstitial Pregnancy after Ipsilateral Salpingectomy: Analysis of 46 Cases and a Literature Review. J Minim Invasive Gynecol, 27(3), 613–617. Google Scholar
[4]
Mittal S. và Shekhar B. (2021). Large Interstitial Ectopic Pregnancy: Management by Laparoscopic Cornuostomy Following Initial Misdiagnosis. Cureus, 13(11), e19280. Google Scholar
[5]
Đặng Văn Tân, Lê Sỹ Phúc An, và Nguyễn Tuyết Trinh (2021). Hiệu quả kỹ thuật “khâu thắt miệng túi” trong phẫu thuật nội soi thai làm tổ đoạn kẽ. Tạp chí Phụ Sản, 18(4), 58–64. Google Scholar
[6]
Tulandi T., Vilos G., và Gomel V. (1995). Laparoscopic treatment of interstitial pregnancy. Obstet Gynecol, 85(3), 465–467. Google Scholar
[7]
Grobman W.A. và Milad M.P. (1998). Conservative laparoscopic management of a large cornual ectopic pregnancy. Hum Reprod, 13(7), 2002–2004. Google Scholar
[8]
Cucinella G., Calagna G., Rotolo S. và cộng sự. (2014). Interstitial pregnancy: a “road map” of surgical treatment based on a systematic review of the literature. Gynecol Obstet Invest, 78(3), 141–149. Google Scholar
[9]
Khưu Văn Hậu (2015). Đánh giá kết quả phẫu thuật nội soi chửa ngoài tử cung tại Bệnh viện Quân y 121. Luận văn Chuyên khoa cấp II, Trường Đại học Y Dược Cần Thơ. Google Scholar
[10]
Spandorfer S.D., Sawin S.W., Benjamin I. và cộng sự. (1997). Postoperative day 1 serum human chorionic gonadotropin level as a predictor of persistent ectopic pregnancy after conservative surgical management. Fertil Steril, 68(3), 430–434. Google Scholar
[11]
Phạm Mỹ Hoài (2013). Đánh giá kết quả phẫu thuật nội soi bệnh lý chửa ngoài tử cung tại Bệnh viện Trường Đại học Y Dược Thái Nguyên. Tạp chí Khoa học và Công nghệ, 177–183. Google Scholar