Abstract:Background: Heterotopic pregnancy is a rare complication of in vitro fertilization (IVF) and diagnosis and treatment can be challenging, particularly with unusual ectopic sites and desire to maintain the intrauterine pregnancy.
“…Intraoperative ultrasound directly on the gravid uterus has similarly been described in a 2016 case report for cornual heterotopic resection. 12 The authors suggest that this approach allowed for improved guidance of suture planes for a more precise resection. 12 More investigation is necessary to determine the utility of intraoperative ultrasound guidance and its impact on maternal and fetal outcomes.…”
Section: Surgical Management Of Cornual Heterotopicmentioning
confidence: 99%
“…12 The authors suggest that this approach allowed for improved guidance of suture planes for a more precise resection. 12 More investigation is necessary to determine the utility of intraoperative ultrasound guidance and its impact on maternal and fetal outcomes.…”
Section: Surgical Management Of Cornual Heterotopicmentioning
Heterotopic pregnancy is an uncommon phenomenon in which an ectopic and intrauterine pregnancy coexist. This condition can be life-threatening and poses a significant therapeutic challenge. Here we describe management of a heterotopic pregnancy with the ectopic pregnancy located in the right cornua. Resection of the ectopic pregnancy was performed via open laparotomy with intraoperative sonography. A sonography guided approach may optimize resection depth while secondarily allowing monitoring of the intrauterine pregnancy and prevention of disruption in cases in which the gestational sacs are in close proximity. After resection, the course of the pregnancy was uncomplicated, and a healthy baby was delivered via planned cesarean delivery at 36 weeks. While the optimal management of heterotopic pregnancies is often individualized, prompt diagnosis and treatment can result in favorable outcomes. The use of ultrasound intraoperatively allows for more precise resection depth, and which may lead to improved outcomes including increased intrauterine fetal survival rates and decreased myometrial scarring.
“…Intraoperative ultrasound directly on the gravid uterus has similarly been described in a 2016 case report for cornual heterotopic resection. 12 The authors suggest that this approach allowed for improved guidance of suture planes for a more precise resection. 12 More investigation is necessary to determine the utility of intraoperative ultrasound guidance and its impact on maternal and fetal outcomes.…”
Section: Surgical Management Of Cornual Heterotopicmentioning
confidence: 99%
“…12 The authors suggest that this approach allowed for improved guidance of suture planes for a more precise resection. 12 More investigation is necessary to determine the utility of intraoperative ultrasound guidance and its impact on maternal and fetal outcomes.…”
Section: Surgical Management Of Cornual Heterotopicmentioning
Heterotopic pregnancy is an uncommon phenomenon in which an ectopic and intrauterine pregnancy coexist. This condition can be life-threatening and poses a significant therapeutic challenge. Here we describe management of a heterotopic pregnancy with the ectopic pregnancy located in the right cornua. Resection of the ectopic pregnancy was performed via open laparotomy with intraoperative sonography. A sonography guided approach may optimize resection depth while secondarily allowing monitoring of the intrauterine pregnancy and prevention of disruption in cases in which the gestational sacs are in close proximity. After resection, the course of the pregnancy was uncomplicated, and a healthy baby was delivered via planned cesarean delivery at 36 weeks. While the optimal management of heterotopic pregnancies is often individualized, prompt diagnosis and treatment can result in favorable outcomes. The use of ultrasound intraoperatively allows for more precise resection depth, and which may lead to improved outcomes including increased intrauterine fetal survival rates and decreased myometrial scarring.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.