Outpatient laparoscopic management of ectopic pregnancy with a local methotrexate injection.
Nine patients with unruptured tubal ectopic gestations were treated as outpatients utilizing a laparoscopically directed injection of methotrexate into the tubal mass. The initial quantitative serum human chorionic gonadotropin values ranged from 34 to 17,100 mIU/mL. Eight of nine subjects had complete resolution of the pregnancy over the ensuing 10-33 days; the remaining patient, with plateauing human chorionic gonadotropin levels, required a laparotomy.
Wolf
G C
GC
Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque 87131.
Witt
B R
BR
D000328:Adult; D000553:Ambulatory Care / Q000379:methods*; D006063:Chorionic Gonadotropin / Q000097:blood; D005260:Female; D006801:Humans; D007267:Injections; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods / Q000592:standards*; D008727:Methotrexate / Q000008:administration & dosage / Q000627:therapeutic use*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000188:drug therapy* / Q000473:pathology
D006063:Chorionic Gonadotropin; D008727:Methotrexate