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Management of ectopic pregnancies at Cotonou |
Cahiers d'études et de recherches francophones / Santé . Volume 7, Number 3, 201-3, Mai-Juin 1997, Note de recherche
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 Résumé
 Summary
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Author(s) : René Perrin, Vicentia Boco, Bernard Bilongo, Jean Akpovi, Eusebe Alihonou, Clinique de gynécologie et d’obstétrique du CNHU de Cotonou, BP 386, Cotonou, Bénin, Service de radiologie du CNHU de Cotonou, 06 BP 1949, Cotonou, Bénin.. |
Summary : In 1993 and 1994, there were 223 cases of ectopic pregnancy, resolved by surgery, at the University Clinic of Gynecology and Obstetrics of the National Teaching Hospital in Cotonou. This represents 4.57% of the number of deliveries. The study of 204 cases reveals the following characteristics: (i) There are clinical signs: pelvic pains and/or metrorrhagia in 97% of cases\; (ii) Diagnosis was often late with a hemoperi-toneum and required major intervention (salpingectomy). Ultrasound scanning allowed accurate diagnosis in 30.39% of cases. Celioscopy was necessary in 3.92% of cases\; (iii) The life prognosis is usually good (1 death in 204 cases\; i.e. 0.49%). The functional prognosis is difficult to estimate. The evolution of medical techniques, with the help of ultrasound scans facilitates early diagnosis and application of modern less traumatic therapies such as endoscopic surgery and conservative treatment. |
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