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Lang, PF; Weiss, PA; Mayer, HO; Haas, JG; Hönigl, W.
Conservative treatment of ectopic pregnancy with local injection of hyperosmolar glucose solution or prostaglandin-F2 alpha: a prospective randomised study.
LANCET. 1990; 336(8707): 78-81. Doi: 10.1016/0140-6736(90)91593-Y
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Haas Josef
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Abstract:
In a prospective randomised study, 31 patients with an unruptured tubal pregnancy were treated either with local and systemic prostaglandins or with local instillation of a hyperosmolar glucose solution. Prostaglandin therapy was successful in 13 of 15 patients and glucose therapy in 16 of 16. 9 women treated with prostaglandins had cramping abdominal pains postoperatively. No side-effects were noted in those treated with glucose. At subsequent hysterosalpingography 5 of 6 patients treated with prostaglandins and 7 of 8 treated with glucose had normal tubal configuration and patency. 3 patients treated with glucose later had a normal intrauterine pregnancy, demonstrably through the affected tube in 1 case. These results suggest that local instillation of hyperosmolar glucose solution is an option in the laparoscopic management of unruptured tubal pregnancies.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Chorionic Gonadotropin - blood Chorionic Gonadotropin - urine
Dinoprost - administration and dosage Dinoprost - adverse effects Dinoprost - therapeutic use
Drug Evaluation -
Female -
Glucose - administration and dosage Glucose - therapeutic use
Humans -
Osmolar Concentration -
Pregnancy -
Pregnancy, Ectopic - blood Pregnancy, Ectopic - drug therapy Pregnancy, Ectopic - urine
Prospective Studies -
Randomized Controlled Trials as Topic -

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