CERVICAL PREGNANCY: EXPERIENCE WITH ORGAN-SPARING TREATMENT USING SELECTIVE UTERINE ARTERY EMBOLIZATION AND HYSTERORESECTOSCOPY


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Abstract

Objective. To preserve reproductive health in a patient with the rare ectopic pregnancy - cervical pregnancy (CP). Material and methods. The paper reports a CP patient managed with current organ-sparing treatment options: selective uterine artery embolization and hysteroresectoscopy. Results. A 27-year-old patient with the clinical diagnosis of CP underwent organ-sparing surgery using selective uterine artery embolization and hysteroresectoscopy. Conclusion. Selective uterine artery embolization, followed by egg removal under guidance of cervicoscopy and by implantation site electrocoagulation with a hysteroresectoscope, is one of the possible treatment options for early-stage CP. This treatment allows for egg retrieval with minimal blood loss and for reproduction function preservation.

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About the authors

S. E SARKISOV

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: 7341497@mail.ru
MD, Professor, Head of the Department of the Innovative Department minimally invasive technologies Moscow 117997, Ac. Oparina str. 4, Russia

A. V DEMIDOV

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: demydow@ya.ru
Junior researcher of the Innovative Department minimally invasive technologies Moscow 117997, Ac. Oparina str. 4, Russia

O. V MANANNIKOVA

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: o_manannikova@oparina4.ru
Senior researcher of the Innovative Department minimally invasive technologies Moscow 117997, Ac. Oparina str. 4, Russia

A. V ARABLINSKY

S.P. Botkin City Clinical Hospital, Moscow Healthcare Department

Email: alexar-card@mail.ru
head of the Department of x-ray methods of diagnostics and treatment Moscow, 2nd Botkinsky pr-d 5, Russia

V. N FOMIN

S.P. Botkin City Clinical Hospital, Moscow Healthcare Department

Email: x-raysurgeon@mail.ru
radiologist of the Department of x-ray methods of diagnostics and treatment Moscow, 2nd Botkinsky pr-d 5, Russia

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