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Tews, G; Ebner, T; Yaman, C; Pölz, W; Sommergruber, M; Hartl, J.
The potential of preoperative beta-hCG and progesterone levels to predict failure of laparoscopic linear salpingostomy in ectopic pregnancies.
J Am Assoc Gynecol Laparosc. 2002; 9(4):460-463 Doi: 10.1016/S1074-3804(05)60519-1
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Co-authors Med Uni Graz: Ebner Thomas
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Abstract:: Study Objective. To estimate the association between preoperative beta-human chorionic gonadotropin (hCG) and progesterone levels, and success of linear salpingostomy in treatment of tubal pregnancy. Design. Retrospective case control study (Canadian Task Force classification II-1). Setting. Women's general hospital. Patients. Three hundred five women undergoing laparoscopic linear salpingostomy for ectopic pregnancy Intervention. Examination of risk factors for surgical failure of salpingostomy by analyzing corresponding receiver operating curves. Measurements and Main Results. In 305 women, intervention was successful in 272 and failed in 33, as assessed by either postoperative hemorrhage (16) or rising beta-hCG values (14); 3 women had both. Of 295 patients in whom beta-hCG was evaluated preoperatively, 149 (50.5%) had values of 1000 mU/ml. or less; 75% had progesterone levels of 10 ng/ml or below. No association was found between preoperative beta-hCG and progesterone levels and the success of linear salpingostomy. Conclusion. Preoperative beta-hCG and progesterone levels are of no significance with regard to success of linear salpingostomy for treatment of tubal pregnancy.
Find related publications in this database (using NLM MeSH Indexing): Adult -; Biological Markers - blood; Case-Control Studies -; Chorionic Gonadotropin, beta Subunit, Human - blood Chorionic Gonadotropin, beta Subunit, Human - metabolism; Confidence Intervals -; Female -; Follow-Up Studies -; Humans -; Predictive Value of Tests -; Pregnancy -; Pregnancy, Ectopic - blood Pregnancy, Ectopic - diagnosis Pregnancy, Ectopic - surgery; Preoperative Care -; Probability -; Progesterone - blood Progesterone - metabolism; ROC Curve -; Retrospective Studies -; Salpingostomy - adverse effects Salpingostomy - methods; Sensitivity and Specificity -; Treatment Outcome -