Cervical pregnancy management by lauromacrogol combined with intrauterine visualization system and vacuum aspiration: two case studies

Abstract

Cervical pregnancy management by lauromacrogol combined with intrauterine visualization system and vacuum aspiration: two case studies Xia-Qin Cai1 , Ting-Ting Gao1 , Bing Lu1 , Qing Zhang1 , Mei-Yuan Jin1 , Hui-Jie Cheng2,* 1Tongde Hospital of Zhejiang Province, 310000 Hangzhou, Zhejiang, China 2Wencheng County Hospital of Traditional Chinese Medicine, 325000 Wenzhou, Zhejiang, China *Correspondence: wczyy@zjwjw.gov.cn (Hui-Jie Cheng) Academic Editor: Michael H. Dahan Submitted: 7 November 2020 Revised: 21 December 2020 Accepted: 19 January 2021 Published: 15 April 2022 Abstract Background: Timely and effective intervention can avoid the need for hysterectomy in cervical pregnancy. This study reported 2 cervical pregnancy cases treated with lauromacrogol combined with intrauterine visualization system and vacuum aspiration under direct vision and negative pressure suction. Cases: A 33-year-old (para 0-0-2-0) and 26-year-old females (para 1-0-1-1) were admitted to our hospital for amenorrhoea followed by vaginal bleeding, with previous history of laparoscopic salpingectomy for ectopic pregnancy, and cesarean section and hysteroscopic resection of retained placenta after induced abortion, respectively. Both patients were treated with lauromacrogol combined with intrauterine visualization system and vacuum aspiration along with Foley catheter compression. Both surgeries were completed in one go. The effect was significant, safe, feasible, with no massive vaginal bleeding or complications. The serum hCG decreased rapidly, and the length of hospital stay was short. Conclusions: This combined treatment method has a definitive effect, and the application can be promoted clinically. Keywords: Cervical pregnancy; Lauromacrogol; Intrauterine visualization system; Vacuum aspiration