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

Oleh:

Young-Sam, Choi ; Dae-Sook, Eun ; Jin, Choi ; Kwang-Sik, Shin

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 91 no. 05 (May 2009), page 1933-1937.
Topik: Interstitial pregnancy; cornual pregnancy; laparoscopy; cornuotomy; tourniquet suture

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2009.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

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

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