Comparison of Ectopic Pregnancy Treatment Modalities: Experience from a Tertiary Center

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dc.contributor.authorAlbayrak, Mustafa
dc.contributor.authorKarataş, Ahmet
dc.contributor.authorBıyık, İsmail
dc.contributor.authorKeskin, Fatih
dc.date.accessioned2020-04-30T22:41:16Z
dc.date.available2020-04-30T22:41:16Z
dc.date.issued2013
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000315620900008en_US
dc.description.abstractObjectives: To review and analyze the outcomes of various treatment modalities in women with ectopic pregnancy (EP) in a tertiary center between January 2006 and February 2011 Design: Retrospective study Setting: Duzce University Hospital, Turkey Subjects and Methods: The medical records of 116 women diagnosed with EP were reviewed retrospectively. Women were grouped based on the treatment modality: Expectant (Group I), Medical treatment with methotrexate (Group II) and Surgical (salpingostomy and salpingectomy) (Group III). Demographic characteristics were analyzed and the success rates between the groups were compared. Intervention: None Main Outcome Measures: Success rates between groups based on treatment modality Results: Success rates for expectant, medical management with single dose of methotrexate, salpingostomy and salpingectomy were 66.7%, 79%, 92.7% and 100%, respectively. There was no difference between the success rates of laparoscopic salpingostomy and single dose methotrexate (p = 0.246). Salpingectomy was more successful compared to expectant and medical managements (p = 0.003 and p = 0.040, respectively). Conclusion: The highest success rate in EP was achieved by surgical treatment. However, expectant and medical treatment may eliminate the need for surgery in selected cases with low and / or decreasing initial beta-hCG levels.en_US
dc.identifier.endpage46en_US
dc.identifier.issn0023-5776
dc.identifier.issue1en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage41en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3154
dc.identifier.volume45en_US
dc.identifier.wosWOS:000315620900008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherKuwait Medical Assocen_US
dc.relation.ispartofKuwait Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectectopic pregnancyen_US
dc.subjectexpectant managementen_US
dc.subjectmethotrexate therapyen_US
dc.subjectsurgical treatmenten_US
dc.titleComparison of Ectopic Pregnancy Treatment Modalities: Experience from a Tertiary Centeren_US
dc.typeArticleen_US

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