New simple endoscopic operations for interstitial pregnancies

Moon, Heui Soo; Choi, Young Joo; Park, Yang Hee; Kim, Sang Gap

doi:10.1016/s0002-9378(00)70499-6

Cited by 133 publications

(103 citation statements)

References 17 publications

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“…15 A systematic review of the literature also supports our findings, reporting lower blood losses and operative duration in patients treated using hemostatic techniques. 7 Endoloop is a non-embedded suture and the risk of slippage of the pre-tied loop from the cornual area with inadequate hemostasis could represent a disadvantage of the technique.…”

Section: Discussionsupporting

confidence: 86%

Endoloop technique for laparoscopic cornuectomy: A safe and effective approach for the treatment of interstitial pregnancy

Faioli

Berretta

Dall’Asta

et al. 2016

J of Obstet and Gynaecol

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Interstitial pregnancy (IP) occurs within the intramural portion of the tube and accounts for 2% of ectopic pregnancies. Surgery is considered the most definitive treatment for IPs, although there is no clear consensus regarding the optimal approach. In this paper we describe the advantages of cornual resection performed using the Endoloop technique and present three patients who were successfully treated using this approach. IP diagnosis was confirmed at two and three-dimensional ultrasound and laparoscopy in all cases. Fertility sparing surgery with cornuectomy by Endoloop ligature technique demonstrated low mean operating time and blood loss, and allowed the quick recovery and discharge of all patients. Laparoscopy has become the gold standard surgical approach for IP. Cornual resection or excision is the most commonly performed procedure. In our case series, the Endoloop technique showed excellent treatment outcomes in terms of effectiveness, blood loss, operative time, recovery and post-procedure fertility. Because of these features, Endoloop appears to be a suitable option for the laparoscopic management of IPs, both in elective and emergency settings.

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Section: Discussionsupporting

confidence: 86%

Endoloop technique for laparoscopic cornuectomy: A safe and effective approach for the treatment of interstitial pregnancy

Faioli

Berretta

Dall’Asta

et al. 2016

J of Obstet and Gynaecol

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“…When an unruptured cornual pregnancy is diagnosed, there is some medical treatment options, such as medical management with applied by parental route or directly injection of methotrexate or potassium chloride into the cornual gestational sac with ultrasonography guidance, laparoscopic cornual resection and selective uterine artery embolization when uterine preservation is desired 7,8,9 . One of the major advantages of conservative treatment of cornual pregnancy is the preservation of fertility and the key disadvantages is the risk of uterine rupture in subsequent pregnancy 10 .…”

Section: Discussionmentioning

confidence: 99%

A Ruptured Cornual Ectopic Pregnancy at 17 Weeks Gestation: A Case Report

et al. 2014

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Introduction:Cornual pregnancy is a rare form of ectopic pregnancy. Insterstitial pregnancies account for 2-4% of ectopic pregnancies and 20% of cases that advances beyond 12 wks of gestation ends in rupture 1 . As pregnancy location is within the myometrium there is greater room for expansion and rupture occurs characteristically during the fourth or fifth gestation 2 . It is very difficult to make a diagnosis of cornual pregnancy before rupture. We report a case where cornual pregnancy was diagnosed at 17 weeks of gestation after uterus rupture and profuse intraabdominal heamorrhage. Case Report:A 22 yrs old lady admitted in our hospital with history of severe abdominal pain and sweating for 5 hours at 17 weeks of gestation. . Her temperature recorded 96 0 F, pulse rate was 115 beats/min and blood pressure was 80/50 mm Hg. The lower abdomen A Ruptured Cornual Ectopic Pregnancy at 17 WeeksGestation : A Case Report KHAN MI a Here , we report a case where cornual pregnancy was diagnosed at 17 weeks of gestation after uterine rupture and profound haemorrhage . The patient underwent laparotomy followed by cornual resection with salpingectomy.

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“…12 Magnetic resonance imaging (MRI) is a good option to detect abnormal pregnancies like this early in gestation.…”

Section: Proceedings In Obstetrics and Gynecology 2015;5(3):3mentioning

confidence: 99%