title: Organ-preserving management of ovarian pregnancies by laparoscopic approach.
abstract: This article discusses the possible etiology and the preoperative, operative, and postoperative management of five ovarian pregnancies based on the initial nonspecific signs and symptoms and the high risk of hemoperitoneum and/or hypovolemic shock of a ruptured ovarian pregnancy with the associated diagnostic problems. The advances made in transvaginal ultrasonography and monitoring of serum β-hCG levels in blood samples, as well as the substantial progress made in diagnostic pelviscopy and operative laparoscopy, have led to an early minimal invasive surgical management with the main emphasis on an organ-preserving procedure, i.e., a simple enucleation of the gestational sac with the utmost protection of the surrounding ovarian tissue.
authors.affiliation: Department of Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Kiel, Germany. ibrahim.alkatout@web.de
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alkatout
authors.forename: Christiane
authors.initials: C
authors.lastname: Stuhlmann-Laeisz
authors.forename: Liselotte
authors.initials: L
authors.lastname: Mettler
authors.forename: Walter
authors.initials: W
authors.lastname: Jonat
authors.forename: Thoralf
authors.initials: T
authors.lastname: Schollmeyer
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000097:blood; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D042241:Early Diagnosis; D005260:Female; D005858:Germany; D005865:Gestational Age; D058746:Gestational Sac / Q000000981:diagnostic imaging / Q000601:surgery; D006465:Hemoperitoneum / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D010535:Laparoscopy; D010053:Ovary / Q000000981:diagnostic imaging / Q000601:surgery*; D011237:Predictive Value of Tests; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011863:Radioimmunoassay; D012307:Risk Factors; D012769:Shock / Q000209:etiology / Q000517:prevention & control; D013997:Time Factors; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal
chemical_list: D015415:Biomarkers; D018997:Chorionic Gonadotropin, beta Subunit, Human