{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T17:09:23Z","timestamp":1766336963401,"version":"3.48.0"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,6,3]],"date-time":"2015-06-03T00:00:00Z","timestamp":1433289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,6,3]],"date-time":"2015-06-03T00:00:00Z","timestamp":1433289600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":90,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["ijgo.org","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To establish whether the finding of perihepatic adhesions (PHAs) at laparoscopy for ectopic pregnancy (EP) is associated with poor perioperative and reproductive outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was undertaken of all cases of EP managed surgically at a teaching hospital in northeast London in 2003\u20132013. Data for symptoms, reproductive history, ultrasonography findings, blood parameters, and findings at surgery were compared between patients with and without perihepatic adhesions (PHAs) identified at laparoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 802 women with EP, PHAs were identified during surgery for 60 (7.5%). Compared with women without PHAs, patients with PHAs were significantly more likely to have had previous pelvic inflammatory disease, previous EP, previous tubal surgery, and the finding of abnormal contralateral adnexa or other adhesions during laparoscopy (\n                      <jats:italic>P<\/jats:italic>\n                      \u2264 0.024 for all). They also had higher preoperative hemoglobin concentrations and smaller hemoperitoneum volumes (\n                      <jats:italic>P<\/jats:italic>\n                      \u2264 0.04 for both).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Women with PHAs at laparoscopy for EP had lower blood loss than did those without PHAs. The finding of PHAs was associated with an increased rate of recurrent EP, irrespective of a previous history of PID or EP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2015.04.028","type":"journal-article","created":{"date-parts":[[2015,6,5]],"date-time":"2015-06-05T19:13:23Z","timestamp":1433531603000},"page":"247-249","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implications of perihepatic adhesions in women undergoing laparoscopic surgery for ectopic pregnancy"],"prefix":"10.1002","volume":"130","author":[{"given":"Edward","family":"Mullins","sequence":"first","affiliation":[{"name":"London North West Hospitals NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilesh","family":"Agarwal","sequence":"additional","affiliation":[{"name":"London North West Hospitals NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reeba","family":"Oliver","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Whipps Cross University Hospital Barts Health Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimi Funlayo","family":"Odejinmi","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Whipps Cross University Hospital Barts Health Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,3]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_6_2_2","DOI":"10.1056\/NEJMcp0810384"},{"issue":"4","key":"e_1_2_6_3_2","first-page":"622","article-title":"A comparison of the fallopian tube's response to overt and silent salpingitis","volume":"73","author":"Patton D.L.","year":"1989","journal-title":"Obstet Gynecol"},{"doi-asserted-by":"publisher","key":"e_1_2_6_4_2","DOI":"10.1093\/humupd\/dml012"},{"issue":"2","key":"e_1_2_6_5_2","first-page":"S32","article-title":"Sexually transmitted diseases and infertility","volume":"21","author":"Westr\u00f6m L.V.","year":"1994","journal-title":"Sex Transm Dis"},{"doi-asserted-by":"publisher","key":"e_1_2_6_6_2","DOI":"10.1111\/j.1471-0528.1993.tb15308.x"},{"doi-asserted-by":"publisher","key":"e_1_2_6_7_2","DOI":"10.1056\/NEJM198403013100901"},{"issue":"1","key":"e_1_2_6_8_2","first-page":"41","article-title":"Chlamydia trachomatis as a cause of acute perihepatitis associated with pelvic inflammatory disease","volume":"57","author":"Dalekar K.","year":"1981","journal-title":"Br J Vener Dis"},{"doi-asserted-by":"publisher","key":"e_1_2_6_9_2","DOI":"10.1001\/jama.1934.02750250020010"},{"doi-asserted-by":"publisher","key":"e_1_2_6_10_2","DOI":"10.1001\/jama.1930.02710420033012"},{"key":"e_1_2_6_11_2","first-page":"243","article-title":"Phrenic reaction in gynecology (in Spanish)","volume":"27","author":"Stajano C.","year":"1920","journal-title":"Sem M\u00e9d"},{"issue":"6","key":"e_1_2_6_12_2","first-page":"995","article-title":"Incidence of perihepatic adhesions in ectopic gestation","volume":"92","author":"Ali V.","year":"1998","journal-title":"Obstet Gynecol"},{"doi-asserted-by":"publisher","key":"e_1_2_6_13_2","DOI":"10.1016\/S0020-7292(02)00231-X"},{"doi-asserted-by":"publisher","key":"e_1_2_6_14_2","DOI":"10.1016\/j.idc.2013.08.004"},{"doi-asserted-by":"publisher","key":"e_1_2_6_15_2","DOI":"10.1007\/s00404-008-0872-4"},{"doi-asserted-by":"publisher","key":"e_1_2_6_16_2","DOI":"10.1016\/S0140-6736(14)60123-9"},{"doi-asserted-by":"publisher","key":"e_1_2_6_17_2","DOI":"10.2217\/cer.14.12"},{"unstructured":"Royal College of Obsstetricians and Gynaecologists Guideline No. 21: the management of tubal pregnancyhttps:\/\/www.rcog.org.uk\/en\/guidelines\u2010research\u2010services\/guidelines\/gtg21\/. 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