OC058: Conservative management of cervical ectopic pregnancies

Abstract

combined with antibiotics given i.v. or orally. Successful treatment we defined as a patient in good health after 3 months, without clinical symptoms or laboratory signs of infection. Unsuccessful treatment we defined as relapse of TOA in less than 3 months or patients that had surgery in the form of laparoscopy or laparatomy for abscess/organ removal in less than 3 months. Results: The immediate success rate according to our definition was 94% for the whole material. If however, we compare the period 1986 to 1990 (5 years) with 2000 to 2002 (3 years) we see an improved success rate from 88 % to 97 %. The rate of success was not influenced by age, parity, earlier PID, size of abscess or universus bilateral abscess. As for the longterm outcome, 8% have had a new episode of TOA, which in almost all cases have been successfully treated in the same way as the first. In patients operated on more than 3 months after successful treatment, no rest of abscess was found. 25% of patients under 40 years have become pregnant after treatment. Conclusion: This method of treating TOA is simple, cheap and safe. We have had no major complications. With respect to the immediate success and longterm outcome, we recommend this as the method of choice for treatment of TOA.