We report five cases of interstitial pregnancy, treated between 2004 and 2010, to evaluate surgical and obstetric outcome of laparoscopic cornual resection with a “purse-string” technique. A hemostatic suture was passed at the base of the mass in a purse-string fashion prior to resection, to minimize intraoperative blood loss. Subsequent pregnancies were analysed, with a mean follow-up time of 48 months. The mean operating time was 39 min and mean blood loss 47 mL. Three of four patients who desired children delivered at term uneventfully. Laparoscopic cornual resection with a “purse-string” technique appears to be useful for treatment of early interstitial pregnancy. The technique ensures effective and safe treatment, with satisfactory obstetric outcome.

Cucinella, G., Rotolo, S., Calagna, G., Granese, R., Agrusa, A., Perino, A. (2012). Laparoscopic management of interstitial pregnancy: the "purse-string" technique. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 91, 996-999 [10.1111/j.1600-0412.2012.01437.x].

Laparoscopic management of interstitial pregnancy: the "purse-string" technique

CUCINELLA, Gaspare;ROTOLO, Stefano;Calagna, Gloria;AGRUSA, Antonino;PERINO, Antonino
2012-01-01

Abstract

We report five cases of interstitial pregnancy, treated between 2004 and 2010, to evaluate surgical and obstetric outcome of laparoscopic cornual resection with a “purse-string” technique. A hemostatic suture was passed at the base of the mass in a purse-string fashion prior to resection, to minimize intraoperative blood loss. Subsequent pregnancies were analysed, with a mean follow-up time of 48 months. The mean operating time was 39 min and mean blood loss 47 mL. Three of four patients who desired children delivered at term uneventfully. Laparoscopic cornual resection with a “purse-string” technique appears to be useful for treatment of early interstitial pregnancy. The technique ensures effective and safe treatment, with satisfactory obstetric outcome.
Settore MED/40 - Ginecologia E Ostetricia
Settore MED/18 - Chirurgia Generale
Cucinella, G., Rotolo, S., Calagna, G., Granese, R., Agrusa, A., Perino, A. (2012). Laparoscopic management of interstitial pregnancy: the "purse-string" technique. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 91, 996-999 [10.1111/j.1600-0412.2012.01437.x].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/65976
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