Purse-string suture technique to enable laparoscopic management of the interstitial gestation of a heterotopic pregnancy  

Oleh:

Aust, Thomas ; ONeill, Aoife ; Cario, Gregory

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 01 (Jan. 2011), page 261-263 .
Topik: Pursestring suture; interstitial pregnancy; heterotopic pregnancy; laparoscopic surgery

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To describe the laparoscopic management of an interstitial gestation of a heterotopic pregnancy. Design Case report and technique description. Setting Tertiary-level private practice. Patient(s) Woman with a 6-week gestation spontaneous heterotopic twin pregnancy: one twin intrauterine, one interstitial. Intervention(s) A purse-string suture was applied to the proximal portion of the interstitial heterotopic pregnancy. Main Outcome Measure(s) To enable a cornual resection to be performed with minimal bleeding and without recourse to laparotomy. Result(s) At 8 weeks gestation an ultrasound scan confirmed a viable singleton intrauterine pregnancy, but a scan at 12 weeks showed a missed miscarriage. Conclusion(s) The embedding of the suture into the uterine serosa prevents slipping of the ligature that could occur with a pretied loop.

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