{
    "abstract": "We aimed to evaluate the surgical results for ectopic pregnancy (EP) treated at Fukushima Red Cross Hospital for over a 20-year period from 2002 to 2021.\nWe evaluated the incidence, surgical procedures, site of implantation, amount of hemoperitoneum, and the proportion of cases with risk factors of EP.\nTwo hundred and fifty-nine cases of EP were treated surgically. The incidence of EP seemed to be gradually decreasing in recent years. By pregnancy site, 235 (90.7%) of EPs were tubal pregnancies (TPs), 13 in interstitial pregnancies (IPs), 7 in ovarian pregnancies, and 4 in peritoneal pregnancies. For IPs, human chorionic gonadotropin (hCG) levels were statistically higher than with TP and intraperitoneal bleeding was less than with other EP sites. Thirty-nine patients (15.0%) were with massive hemoperitoneum (>500 mL), and laparoscopic surgery was performed in all patients with massive hemoperitoneum except in two patients. The proportion of cases with risk factors for EP such as \nAppropriate surgical intervention should be selected while considering such as facility capabilities, context, and surgeon skill, especially in critical cases, such as cases involving massive hemoperitoneum and hemorrhagic shock. The recent presumed decrease in the occurrence of EP may partly be associated with the decrease in the occurrence of risk factors.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima Medical University, Fukushima, Japan.",
            "firstname": "Hiroyuki",
            "initials": "H",
            "lastname": "Yazawa"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima Medical University, Fukushima, Japan.",
            "firstname": "Riho",
            "initials": "R",
            "lastname": "Yazawa"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Fukushima Medical University, Fukushima, Japan.",
            "firstname": "Ryo",
            "initials": "R",
            "lastname": "Matsuoka"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima Medical University, Fukushima, Japan.",
            "firstname": "Miki",
            "initials": "M",
            "lastname": "Ohara"
        }
    ],
    "conclusions": "Appropriate surgical intervention should be selected while considering such as facility capabilities, context, and surgeon skill, especially in critical cases, such as cases involving massive hemoperitoneum and hemorrhagic shock. The recent presumed decrease in the occurrence of EP may partly be associated with the decrease in the occurrence of risk factors.",
    "copyrights": "Copyright: \u00a9 2024 Gynecology and Minimally Invasive Therapy.",
    "doi": "10.4103/gmit.gmit_53_23",
    "journal": "Gynecology and minimally invasive therapy",
    "keywords": [
        "Ectopic pregnancy",
        "epidemiology",
        "laparoscopic surgery",
        "risk factors",
        "serum human chorionic gonadotropin level"
    ],
    "methods": null,
    "publication_date": "2024-06-24",
    "pubmed_id": "38911310\n29470343\n33145837\n23262929\n31741851\n35310127\n25439806\n36443354\n30129787\n23849842\n24106937\n15229000\n28753549\n21277264\n30503132\n20071358\n31546066\n31403584",
    "results": "Two hundred and fifty-nine cases of EP were treated surgically. The incidence of EP seemed to be gradually decreasing in recent years. By pregnancy site, 235 (90.7%) of EPs were tubal pregnancies (TPs), 13 in interstitial pregnancies (IPs), 7 in ovarian pregnancies, and 4 in peritoneal pregnancies. For IPs, human chorionic gonadotropin (hCG) levels were statistically higher than with TP and intraperitoneal bleeding was less than with other EP sites. Thirty-nine patients (15.0%) were with massive hemoperitoneum (>500 mL), and laparoscopic surgery was performed in all patients with massive hemoperitoneum except in two patients. The proportion of cases with risk factors for EP such as ",
    "title": "Surgical Outcomes and Trends in Incidence of Ectopic Pregnancy.",
    "xml": "<Element 'PubmedArticle' at 0x788503445ee0>"
}