Kết quả phẫu thuật nội soi điều trị thai lạc chỗ đoạn kẽ tại Bệnh viện Sản Nhi Nghệ An

Interstitial ectopic pregnancy (IEP) represents a rare yet critical gynecological emergency, distinguished by its implantation within the muscular wall of the uterus. Despite its low incidence, IEP carries a disproportionately high risk of rupture and severe hemorrhage, contributing significantly to maternal morbidity and mortality associated with ectopic pregnancies. The imperative for timely and effective intervention is thus paramount. Historically, management often involved invasive open surgical procedures, which could impact future fertility. However, advancements in surgical practice have increasingly favored minimally invasive approaches. Laparoscopic surgery for interstitial ectopic pregnancy has emerged as a preferred method, offering benefits such as reduced trauma and quicker recovery. This study from Nghe An Obstetrics and Pediatrics Hospital sought to evaluate the results of treating interstitial ectopic pregnancy using laparoscopic techniques, contributing valuable insights into its local application and success rates.

Bác sĩ sản phụ khoa, phẫu thuật viên, nghiên cứu viên y học và sinh viên y khoa quan tâm đến điều trị thai ngoài tử cung.

This retrospective, cross-sectional study conducted at Nghe An Obstetrics and Pediatrics Hospital from 2020 to 2023 aimed to evaluate the outcomes of laparoscopic surgery for interstitial ectopic pregnancy (IEP) in 41 patients with unruptured cases. The research provided valuable insights into the clinical characteristics and treatment efficacy of this rare but high-risk condition. Pre-operative data showed an average β-hCG concentration of 35333 ± 32948.9 mUI/mL, with 92.7% of patients achieving a significant post-surgical decrease, indicating successful removal of trophoblastic tissue. A considerable proportion (43.9%) of cases involved a gestational mass size of ≥ 3.5cm, highlighting the challenging nature of these pregnancies. Laparoscopic cornual resection was the most frequently performed surgical technique, accounting for 78.1% of procedures. A remarkable finding was that 100% of the patients experienced no complications and achieved excellent results following the surgery. Furthermore, the average post-operative hospital stay was notably short, at 4.5 ± 0.9 days. These results underscore the safety and effectiveness of laparoscopic surgery as a treatment modality for interstitial ectopic pregnancy. The study concludes that this minimally invasive approach offers a high success rate and a low incidence of complications, positioning it as a highly favorable and preferred method for managing interstitial ectopic pregnancy, especially in hemodynamically stable patients. The findings contribute significantly to the medical literature, reinforcing the benefits of advanced surgical techniques in improving patient outcomes for complex gynecological conditions.