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, beta-hCG levels. RESULT(S): The estimated blood loss was 50 +/- 22 mL (mean +/- SD), and the operating time was 58 +/- 16 minutes. The serum beta-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.
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, beta-hCG levels. RESULT(S): The estimated blood loss was 50 +/- 22 mL (mean +/- SD), and the operating time was 58 +/- 16 minutes. The serum beta-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.
Authors: Cristina Manea; Evangelia Pavlidou; Aline Andrey Urias; Jean Bouquet de la Jolinière; Jean Bernard Dubuisson; Anis Feki Journal: Front Surg Date: 2014-09-05