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Published on: October 25, 2024
Posterior Colpotomy in Ectopic Pregnancy Management: A 12-Year Surgical Analysis
Angela Encarnação Sousa Silva1, António Baptista Vilaça2
1Gynecology and Obstetrics, Unidade Local de Saúde do Médio Ave, Vila Nova De Famalicão, PRT.
Introduction And Objective:
The management of ectopic pregnancies has evolved from traditional laparotomy to minimally invasive techniques, with posterior colpotomy emerging as a viable alternative. This study explores the safety and efficacy of posterior colpotomy in tubal ectopic pregnancy management.
Methods:
A retrospective analysis of 16 cases employing posterior colpotomy for ectopic pregnancy treatment was conducted from 2009 to 2021.
Results:
Posterior colpotomy demonstrated success in all 16 cases, with no intraoperative complications, short surgical times (15-65 minutes), and minimal blood loss. One patient (6.25%) experienced postoperative complications, necessitating transfusion. Most patients (87.5%) were discharged the following day, expressing high satisfaction.
Conclusion:
The 12-year surgical analysis supports posterior colpotomy as a safe and effective technique for managing tubal ectopic pregnancies. Its benefits, including minimized trauma, short operating times, and favorable patient outcomes, affirm its contemporary relevance. The practical advantages further emphasize its viability in the evolving landscape of ectopic pregnancy management. Larger-scale research is recommended for comprehensive comparisons with laparoscopy and laparotomy.
