Treatment Approaches in Ectopic Pregnancy: Retrospective Analysis of a Tertiary Referal Center

Abstract

Aim : We have retrospectively analyzed the patients followed-up in our department upon tentative diagnosis of EP in order to evaluate the treatment success of surgical approaches and MTX. Method: This is a retrospective study analyzing the data of 79 patients hospitalized upon tentative diagnosis of EP at MuglaSıtkıKocman University Education and Research Hospital, Department of Obstetrics and Gynecology between 01/01/2018-01/10/2019. Success rates of surgical treatment and medical treatment were compared. Results: 79 patients were treated upon the pre-diagnosis of EP in our department. In 10 patients (12.65%), EP regressed during follow-up. Thirty-six patients (45.56%) were treated surgically, 29 patients (39.7%) were treated medically, and the remaining 4 had CSEP, out of whom 3 (3.79%) patients underwent D&C and 1 patient (1.26%) was treated with systemic MTX injection. Disgerminoma was diagnosed in one patient who underwent surgical treatment. Conclusion: Due to the difficulties in its diagnosis and variations in treatment methods, EP must always be well-acknowledged by the obstetricians. CSEP diagnosis must be kept in mind along with the increasing Cesarean section rates over the recent years. When surgical treatment is opted, it should be remembered that LS is the current approach to surgery