Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy.

作者: Young-Sam Choi , Dae-Sook Eun , Jin Choi , Kwang-Sik Shin , Ji-Hye Choi

DOI: 10.1016/J.FERTNSTERT.2008.02.013

关键词:

摘要: Objective To evaluate the efficiency of laparoscopic cornuotomy. Design Retrospective case review. Setting An urban medical center. Patient(s) Eight patients with interstitial pregnancy who have undergone Intervention(s) Laparoscopic cornuotomy was performed using a temporary tourniquet suture and injection diluted vasopressin around cornual mass. The removed completely after repairing cornu. Main Outcome Measure(s) Operating time, hemorrhage, β-hCG levels. Result(s) estimated blood loss 50 ± 22 mL (mean SD), operating time 58 16 minutes. serum level returned to within normal range approximately 4 weeks postoperatively in all patients. There were no major postoperative complications, such as adjuvant therapy required. Conclusion(s) is safe effective method pregnancy, we believe that it has advantage preserving reproductive capacity over resection.

参考文章(17)
Toshinobu Tanaka, Hiroshi Hayashi, Takeshi Kutsuzawa, Seiichiro Fujimoto, Kihyoe Ichinoe, Treatment of interstitial ectopic pregnancy with methotrexate: report of a successful case Fertility and Sterility. ,vol. 37, pp. 851- 852 ,(1982) , 10.1016/S0015-0282(16)46349-1
Susan M. Tuck, Gabrielle P. Downey, Spontaneous uterine rupture during subsequent pregnancy following non‐excision of an interstitial ectopic gestation British Journal of Obstetrics and Gynaecology. ,vol. 101, pp. 162- 163 ,(1994) , 10.1111/J.1471-0528.1994.TB13086.X
Amir Weissman, Amiram Fishman, Uterine rupture following conservative surgery for interstitial pregnancy European Journal of Obstetrics & Gynecology and Reproductive Biology. ,vol. 44, pp. 237- 239 ,(1992) , 10.1016/0028-2243(92)90105-8
Hwa Sook Moon, Young Joo Choi, Yang Hee Park, Sang Gap Kim, New simple endoscopic operations for interstitial pregnancies. American Journal of Obstetrics and Gynecology. ,vol. 182, pp. 114- 121 ,(2000) , 10.1016/S0002-9378(00)70499-6
Togas Tulandi, Dania Al-Jaroudi, Interstitial pregnancy: results generated from the Society of Reproductive Surgeons Registry. Obstetrics & Gynecology. ,vol. 103, pp. 47- 50 ,(2004) , 10.1097/01.AOG.0000109218.24211.79
David L. Katz, John P. Barrett, Joseph S. Sanfilippo, David M. Badway, Combined hysteroscopy and laparoscopy in the treatment of interstitial pregnancy American Journal of Obstetrics and Gynecology. ,vol. 188, pp. 1113- 1114 ,(2003) , 10.1067/MOB.2003.258
Y MARITA, O TSUTSUMI, M MOMOEDA, Y TAKETANI, Cornual pregnancy successfully treated laparoscopically with fibrin glue hemostasis. Obstetrics & Gynecology. ,vol. 90, pp. 685- 687 ,(1997) , 10.1016/S0029-7844(97)00398-0
M.C. Huang, T.H. Su, M.Y. Lee, Laparoscopic management of interstitial pregnancy. International Journal of Gynecology & Obstetrics. ,vol. 88, pp. 51- 52 ,(2005) , 10.1016/J.IJGO.2004.09.003
, Sun-Hee Chun, Jong-Il Kim, Endoscopic treatment of interstitial pregnancy Acta Obstetricia et Gynecologica Scandinavica. ,vol. 82, pp. 189- 191 ,(2003) , 10.1034/J.1600-0412.2002.810414.X-I1
T. Hafner, N. Aslam, J. A. Ross, N. Zosmer, D. Jurkovic, The effectiveness of non-surgical management of early interstitial pregnancy: a report of ten cases and review of the literature Ultrasound in Obstetrics and Gynecology. ,vol. 13, pp. 131- 136 ,(1999) , 10.1046/J.1469-0705.1999.13020131.X