ABSTRACT

Objective

In this study, we aimed to make a retrospective analysis of the follow-up and the treatment of the patients who were admitted to our clinic, which is a tertiary center, with the preliminary diagnosis of ectopic pregnancy between 2010-2016 to contribute to the data related to ectopic pregnancy in our country.

Materials and Methods

We retrospectively evaluated the follow-up and the treatment of 452 patients who were admitted to our clinic with a diagnosis of ectopic pregnancy between 2010-2016. We separated these cases into different groups according to their diagnosis, the way of treatment and results.

Results

The study was conducted in Bakırköy Dr. Sadi Konuk Training and Research Hospital, between 2010-2016 with 452 female cases. We did not visualize any ectopic mass in 12.6% of the cases (n = 57); 85% (n = 385) was tubal; 0.2% (n = 1) was cornual; 1.2% (n = 5) was ovarian, 0.2% (n = 1) was heterotropic; 0.4% (n = 2) was molar pregnancy, and 0.2% (n = 1) was scar pregnancy. Methotrexate (Mtx) treatment success rate was 72.7%. 17 % (n = 77) of the cases used Mtx; general rupture rate of the cases was 25.7% (n = 116); rupture rate after Mtx treatment was 27.2% (n = 21). In the Mtx group the rate of detecting an ectopic mass was significantly higher (p = 0.001; p <0.01). 74.1% (149 cases) of the cases we performed laparoscopy and 25.8% (53 patients) of the cases we performed laparotomy. 86% (173 patients) was performed salpingectomy, 10.9% (18 patients) salpingostomy, and 2.9% ovarian resection.

Conclusion

Looking at the data in our clinic, we use follow-up, surgical and medical treatment methods. The success rate of medical treatment was 72.7%, and laparoscopic surgery was performed in 74.1% of the cases.