[Treatment of ectopic pregnancy].
Ectopic pregnancy, a sometimes mortal complication, currently rests one of the more frequently seen problems in women being treated for sterility. The treatment, classically surgical, is now tending towards a medical treatment by methotrexate. Surgical excision of a tubular ectopic pregnancy is done by laparoscopy in preference to laparotomy, which is reserved for an acute haemoperitoneum. The conservation of the fallopian tube depends on multiple factors. Subsequent fertility is dominated by the risk of a recurrence, making call to in vitro fertilization (IVF) in the case of bilateral tubular lesions. Pharmacotherapy by methotrexate is simple to perform, but demands rigourous surveillance.
Danoy
Xavier
X
Service de chirurgie gynécologique et obstétrique Groupe hospitalier La Pitié-La Salpêtrière 75651 Paris. xavier.danoy@psl.ap-hop-paris.fr
Darbois
Yves
Y
D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000075202:Contraindications; D003937:Diagnosis, Differential; D005260:Female; D005298:Fertility; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D012489:Salpingostomy; D016896:Treatment Outcome
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate