Comparison of Laparoscopic Cornual Resection and Cornuotomy for Interstitial Pregnancy

Lee, Myoung-Hwa; Im, Seung-Yeon; Kim, Minkyoung; Shin, Soyoung; Park, Won I.

doi:10.1016/j.jmig.2016.11.016

Cited by 43 publications

(35 citation statements)

References 17 publications

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“…Whereas cornuotomy was performed in two patients who have no living birth and planned conception in future. Before laparoscopy has become widespread, cornual wedge resection with laparotomy was the gold standard for interstitial pregnancies (13). We believe that historical use of this technique has caused permanent popularity of cornual resection even in laparoscopic surgery age.…”

Section: Discussionmentioning

confidence: 99%

“…We believe that historical use of this technique has caused permanent popularity of cornual resection even in laparoscopic surgery age. Whereas laparoscopic cornuotomy is a relatively novel method using to remove the tissue without removing the myometrium that surrounds the cornual pregnancy material (13). Watanabe et al (13 cases) and Wang et al (38 cases) reported successful treatment outcomes of laparoscopic cornuotomy in relatively larger series (14,15).…”

Section: Discussionmentioning

confidence: 99%

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Perioperative Results of Patients Undergoing Laparoscopic Cornual Resection and Cornuotomy in Cornual Pregnancy; Three Years Experiences of a Tertiary Referral Center

Kadiroğullari¹,

Kıyak²,

Seçkin³

2019

Eastern J Med

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Cornual pregnancy is a rare form of ectopic pregnancy that accounts for 2 to 4% of ectopic pregnancies, with a mortality rate of 2.0 to 2.5%. Traditionally, interstitial pregnancies were treated by medical treatment (methotrexate) or by laparotomy, cornual resection or hysterectomy. We aimed to report perioperative outcomes in these series of patients treated with laparoscopic surgery for cornual ectopic pregnancy. The data of the patients who underwent laparoscopic surgery for interstitial pregna ncy (n=10) were retrospectively reviewed. Demographic characteristics of the patients such as age, gravida, parity, predisposing factors were examined. Complaints of admission, operation and duration, preoperative and postoperative hemoglobin levels, size of pregnancy materials, length of hospital stay and complications were evaluated. Eight patients underwent laparoscopic cornual resection and two patients underwent laparoscopic cornuotomy. The mean age of the patients included in the study was 29.5±4.0 years, gravida 2.2±1.1, parity 0.7±0.82, delta hemoglobin 1.19±0.57 g/dl. Abnormal bleeding and inguinal pain were the most common symptoms in symptomatic patients. The mean operation time was 64.5±22.6 (40-120) minutes. The mean hospital stay of the operated patients was 2.7±0.67 days. Laparoscopic treatment of cornual ectopic pregnancies is an appropriate and safe treatment option. In our experience, the laparoscopic approach minimizes overall blood loss without causing trauma and allows a bloodless area f or anatomic restoration. We believe that laparoscopic cornual resection and cornuotomy can be performed successfully in the hands of experienced surgeons and the future fertility chances of the patients can be preserved.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perioperative Results of Patients Undergoing Laparoscopic Cornual Resection and Cornuotomy in Cornual Pregnancy; Three Years Experiences of a Tertiary Referral Center

Kadiroğullari¹,

Kıyak²,

Seçkin³

2019

Eastern J Med

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“…This video details a laparoscopic cornual resection for surgical management of an interstitial ectopic pregnancy (4). Before advances in laparoscopic surgery, laparotomy with wedge resection of the uterine cornua was the standard surgical technique for interstitial ectopic pregnancies (5). The standard of care now is a laparoscopic approach, when the expertise is available.…”

mentioning

confidence: 99%

“…The data comparing cornuostomy and cornual wedge resection have been reassuring, with both showing a similar incidence of PIP. However, cornuostomy has an additional advantage of reduced reported surgical time (5). Additional treatment with methotrexate for PIP is required in up to 4.2% to 17% of cases after laparoscopic surgery (5).…”

mentioning

confidence: 99%

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In pursuit of understanding interstitial pregnancies: a rare yet high-risk ectopic pregnancy

Khan

Lindheim

2019

Fertility and Sterility

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Hysteroscopic resection as a safe minimally invasive technique for the management of cornual pregnancy: A case report and literature review

Tsagias,

Xydias,

Ziogas

et al. 2023

Clinical Case Reports

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Comparison of Laparoscopic Cornual Resection and Cornuotomy for Interstitial Pregnancy

Cited by 43 publications

References 17 publications

Perioperative Results of Patients Undergoing Laparoscopic Cornual Resection and Cornuotomy in Cornual Pregnancy; Three Years Experiences of a Tertiary Referral Center

Perioperative Results of Patients Undergoing Laparoscopic Cornual Resection and Cornuotomy in Cornual Pregnancy; Three Years Experiences of a Tertiary Referral Center

In pursuit of understanding interstitial pregnancies: a rare yet high-risk ectopic pregnancy

Hysteroscopic resection as a safe minimally invasive technique for the management of cornual pregnancy: A case report and literature review

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