Laparoscopic Management of 4 Cases of Recurrent Cornual Ectopic Pregnancy and Review of Literature

Siow, A; Ng, S.C.

doi:10.1016/j.jmig.2011.02.002

Cited by 31 publications

(32 citation statements)

References 30 publications

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“…Second surgery, often as an emergency procedure, may be needed in these patients, with the associated unnecessary risks, hospitalization and suffering. If β-hCG levels are rising or do not decline after surgery, the use of adjuvant MTX can be an alternative to surgery in patients who complain of little or no pain [46,71,72]. Combined surgical and systemic MTX treatment has been successfully used in a case of abdominal pregnancy causing hemoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

Interstitial Pregnancy: A ‘Road Map' of Surgical Treatment Based on a Systematic Review of the Literature

Cucinella¹,

Calagna²,

Rotolo³

et al. 2014

Gynecol Obstet Invest

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An electronic search concerning the surgical approach in cases of interstitial pregnancy from January 2000 to May 2013 has been carried out. Fifty three studies have been retrieved and included for statistical analysis. Conservative and radical surgical treatments in 354 cases of interstitial pregnancy are extensively described. Hemostatic techniques have been reported as well as clinical criteria for the medical approach. Surgical outcome in conservative versus radical treatment were similar. When hemostatic techniques were used, lower blood losses and lower operative times were recorded. Conversion to laparotomy involved difficulties in hemostasis and the presence of persistent or multiple adhesions. Laparoscopic injection of vasopressin into the myometrium below the cornual mass was the preferred approach.

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Section: Discussionmentioning

confidence: 99%

Interstitial Pregnancy: A ‘Road Map' of Surgical Treatment Based on a Systematic Review of the Literature

Cucinella¹,

Calagna²,

Rotolo³

et al. 2014

Gynecol Obstet Invest

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“…A review of 53 cases of prior interstitial EP reported a recurrence rate of 9.4 % following either medical or surgical management [236]. In patients with a prior interstitial EP, data is limited regarding the risk of uterine rupture in a subsequent IUP, though uterine rupture has been reported after both expectant management and cornual resection [237, 238].…”

Section: Reviewmentioning

confidence: 99%

Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review

Panelli

Phillips

Brady

2015

Fertil Res and Pract

204

251

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BackgroundEctopic pregnancy is a potentially life-threatening condition occurring in 1-2 % of all pregnancies. The most common ectopic implantation site is the fallopian tube, though 10 % of ectopic pregnancies implant in the cervix, ovary, myometrium, interstitial portion of the fallopian tube, abdominal cavity or within a cesarean section scar.FindingsDiagnosis involves a combination of clinical symptoms, serology, and ultrasound. Medical management is a safe and effective option in most clinically stable patients. Patients who have failed medical management, are ineligible, or present with ruptured ectopic pregnancy or heterotopic pregnancy are most often managed with excision by laparoscopy or, less commonly, laparotomy. Management of nontubal ectopic pregnancies may involve medical or surgical treatment, or a combination, as dictated by ectopic pregnancy location and the patient's clinical stability. Following tubal ectopic pregnancy, the rate of subsequent intrauterine pregnancy is high and independent of treatment modality.ConclusionThis review describes the incidence, risk factors, diagnosis, and management of tubal and non-tubal ectopic and heterotopic pregnancies, and reviews the existing data regarding recurrence and future fertility.

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“…The traditional surgical approach to a ruptured interstitial pregnancy used to be laparotomy with either cornual resection or hysterectomy, especially in advanced gestations 2 9. This type of surgical management has been associated with morbidity and unfavourable effects on fertility, therefore more conservative approaches have been introduced into clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…Nowadays, with the advances in laparoscopy, if equipment and surgical skills are available, this is the preferred surgical approach. It is also considered a safe and effective alternative 9 – 11…”

Section: Discussionmentioning

confidence: 99%

Interstitial pregnancy rupture at 15 weeks of pregnancy

Pedroso¹,

Lermann

Amaral

et al. 2014

BMJ Case Reports

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Ectopic pregnancy occurs when the developing blastocyst becomes implanted outside the uterine cavity. Interstitial pregnancy is a rare type, representing 2-3%, of all ectopic pregnancies. It is located outside the uterine cavity in the segment of the fallopian tube that penetrates the muscular layer of the uterus. Therefore, it is a difficult and challenging diagnosis. We report a case of a 19-year-old girl who was admitted to our emergency department because of a ruptured interstitial pregnancy at 15 weeks of gestation.

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Laparoscopic Management of 4 Cases of Recurrent Cornual Ectopic Pregnancy and Review of Literature

Cited by 31 publications

References 30 publications

Interstitial Pregnancy: A ‘Road Map' of Surgical Treatment Based on a Systematic Review of the Literature

Interstitial Pregnancy: A ‘Road Map' of Surgical Treatment Based on a Systematic Review of the Literature

Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review

Interstitial pregnancy rupture at 15 weeks of pregnancy

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