Diagnosis and laparoscopic management of 11 consecutive cases of cornual ectopic pregnancy

MacRae, R.; Olowu, O.; Rizzuto, M. I.; Odejinmi, Funlayo

doi:10.1007/s00404-008-0872-4

Cited by 70 publications

(68 citation statements)

References 16 publications

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“…Role of laparoscopic salpingectomy for management of ectopic pregnancy has been emphasized in many studies till date. [20][21][22] In our study all three ectopic pregnancies and one patient with previous tubal ligation failure and another with bilateral massive pyosalpinx (not responding to medical management) were managed with laparoscopic salpingectomy. Seven patients in our study underwent salpingo-oophorectomy and fimbrial dilatation was done in one patient who had fimbrial block on hysterosalpingography.…”

Section: Discussionmentioning

confidence: 85%

Laparoscopy in Gynecology: Experience from a Rural Hospital

Bhutani¹,

Kaur²,

Sharma³

2016

WJOLS

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Section: Discussionmentioning

confidence: 85%

Laparoscopy in Gynecology: Experience from a Rural Hospital

Bhutani¹,

Kaur²,

Sharma³

2016

WJOLS

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“…The incidence of interstitial ectopic pregnancy is 2.8% of all ectopic pregnancies and 1 in 2035 live births (7). Early diagnosis is the most important part of the management and outcome of the patients.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery of interstitial (cornual) pregnancy, a case report

Gunenc¹,

Bingöl²,

Çelik³

et al. 2010

J Turkish German Gynecol Assoc

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ÖzetWe report a successful laparoscopic management of an interstitial pregnancy of a 24-year-old single woman, treated by cornuostomy.The patient was first managed with methotrexate treatment. After the 2. methotrexate administration, the patient suffered from low abdominal pain, and intraabdominal bleeding signs were reported by transvaginal ultrasonograpy. The hemoglobin level was decreased from 12.8 gr/dl to 11.8 gr/dl and the beta hCG level was increased from 8,314 mIU/l to 11,541 mIU/l. The laparoscopic approach to interstitial pregnancy was presented and other management strategies such as medical treatment and laparotomy have been reviewed. 24 yaşında bekar bir bayan hastada görülen intertisyel (kornual) ektopik gebelik vakasının laparoskopik kornuostomi uygulanarak, başa-rılı bir şekilde tedavisi sunulmuştur. Tanı konulmasını takiben; önce metotreksat tedavisine alınan hastada, 2. metotreksat uygulaması sonrası gelişen kasık ağrısı şikayeti nedeniyle yapılan transvajinal ultrasonografide, intraabdominal kanama bulguları görülmüştür. Hemoglobin seviyesinin 12.8 gr/dl'den 11.8 gr/dl'ye düşmesi ve beta hCG düzeyinin 8,314 mIU/ml'den 11,541 mIU/ml'ye yükselmesi üzerine, hasta laparoskopiye alınmıştır. Bu makalede intertisyel gebeliklerde laparoskopik uygulamalar ve diğer tedavi seçenekleri (medikal tedavi ve laparotomi) irdelenmiştir.

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“…The round ligament could be used to cover the cornual resection site aiming to reduce post operative adhesions and to facilitate the closure of resection site especially when large size ectopics are removed. (Api M& Api O, 2010;MacRae R et al, 2009;Tinelli A et al, 2010;Moon HS et al, 2000). No clear data is available to compare risks of subsequent ectopic and the chances of persistent trophoblastic disease after cornual resection versus cornuotomy.…”

Section: Local Methotrexatementioning

confidence: 99%