Surgical and obstetric outcomes of laparoscopic management for women with heterotopic pregnancy

Eom, Jung Seop; Choi, Joong Sub; Ko, Jung Hwa; Lee, Jung Hun; Park, Seon Hye; Hur, Chang Young

doi:10.1111/jog.12106

Cited by 37 publications

(42 citation statements)

References 24 publications

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“…We proceeded with laparoscopy to help minimize interference with the intrauterine pregnancy but more so because she was hemodynamically stable, as evidenced by her clinical presentation and vital signs. According to published reports, laparoscopic management of heterotopic pregnancy allows for a faster recovery time and minimal requirements for antibiotics and pain medications, which was true in our case [5]. As long as operating time is kept under an hour and a 10-12 mmHg intraperitoneal pressure maintained, there is minimal effect on mother and fetus [5].…”

Section: Discussionmentioning

confidence: 77%

Spontaneous heterotopic triplet pregnancy: Tubal and intrauterine twin gestation

Nnoli¹,

Lefkovits²,

Bruce³

2015

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: A 29-year-old female with a prior obstetric history of spontaneous intrauterine twins presented with a second spontaneous conception of intrauterine twins along with a tubal ectopic pregnancy. The patient was taken to the operating room after tubal rupture, where the ectopic conceptus was removed laparoscopically without complications. She was discharged the following day to follow-up as an outpatient. At the time of writing, her last prenatal visit at 24 weeks gestation was uncomplicated. Conclusion: Though rare, it is prudent that there be continued awareness of the possibility of a heterotopic pregnancy even in the absence of risk factors especially in a patient with symptoms. When confirmed and the patient is clinically stable, surgical management via laparoscopy is a safe alternative.

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Section: Discussionmentioning

confidence: 77%

Spontaneous heterotopic triplet pregnancy: Tubal and intrauterine twin gestation

Nnoli¹,

Lefkovits²,

Bruce³

2015

IJCRI

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“…Heterotopic pregnancy is often a serious emergency and is frequently associated with life-threatening bleeding in cases of delayed diagnosis (1). It is believed that the incidence of heterotopic pregnancy is under-represented in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…A laparoscopic approach is desirable if the patient is hemodynamically stable (1,8,9,12). The Society of Gastrointestinal and Endoscopic surgeons recommend that laparoscopy versus laparotomy has the same decision algorithms as the non-gravid patient.…”

Section: Figmentioning

confidence: 99%

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Single Incision Laparoscopic management of a ruptured Heterotopic pregnancy presenting as an acute appendicitis: A case report

Downes¹

2015

MRAJ

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“…Thus, the main stream in literature regarding ectopic pregnancy treatment is usually laparotomy, but with the introduction of laparoscopic surgery, it is now possible to manage these cases with minimally invasive techniques. There are multiple successful case reports of laparoscopic resection of ectopic pregnancies [28,29]. Massive hemoperitoneum is not an absolute contraindication for laparoscopic management of ectopic pregnancy anymore [16].…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive management of 14–16-week abdominal ectopic with hemoperitoneum: an emergency laparoscopic procedure

Rizk

Salem

2015

Gynecol Surg

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Since the first laparoscopic cholecystectomy on a pregnant lady in 1991, a plethora of articles and case studies have been published addressing laparoscopy and their role in pregnancy. The Royal College of Obstetricians and Gynecologists Green-top Guidelines recommends laparoscopic surgery as the preferred approach in early ectopic tubal pregnancies. Laparoscopic versus laparotomy management of abdominal ectopic is a traumatic experience both on physical and emotional levels. The case study was a 36-year-old gravida 2 para 0 patient, previously normal pregnant lady, in which the follow-up ultrasound revealed moderate hemoperitoneum at 14-16 weeks of gestation. Upon urgent diagnostic laparoscopy, massive hemoperitoneum was detected despite no clinical signs of hemodynamic instability. Uterus was found to be within the normal measurements consistent with the nonpregnant state. Multiple myomas were clearly seen in the uterine wall. A fetus of 14-16 weeks was detected attached to the colon during formal laparoscopic pelvic and abdominal exploration for ectopic pregnancy. Operative laparoscopy for abdominal ectopic in skillful hands can be considered a feasible management technique carrying all the advantages of a minimally invasive procedure.

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Surgical and obstetric outcomes of laparoscopic management for women with heterotopic pregnancy

Abstract: Laparoscopic surgery performed by experienced surgeons is a feasible and beneficial surgical modality for treating heterotopic pregnancy.

Cited by 37 publications

References 24 publications

Spontaneous heterotopic triplet pregnancy: Tubal and intrauterine twin gestation

Spontaneous heterotopic triplet pregnancy: Tubal and intrauterine twin gestation

Single Incision Laparoscopic management of a ruptured Heterotopic pregnancy presenting as an acute appendicitis: A case report

Minimally invasive management of 14–16-week abdominal ectopic with hemoperitoneum: an emergency laparoscopic procedure

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