Open AccessLaparoscopic management of interstitial pregnancy: the “purse‐string” technique
Author(s) -
CUCINELLA GASPARE,
ROTOLO STEFANO,
CALAGNA GLORIA,
GRANESE ROBERTA,
AGRUSA ANTONINO,
PERINO ANTONIO
Publication year - 2012
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/j.1600-0412.2012.01437.x
Subject(s) - medicine , interstitial pregnancy , blood loss , surgery , pregnancy , resection , fibrous joint , laparoscopy , ectopic pregnancy , genetics , biology
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.