How to Optimize Laparoscopic Management of Cornual Pregnancy

Ferjaoui, M.; Arfaoui, Ramzi; Khedhri, Slim; Hannechi, Mohamed Amine; Abdessamia, Kais; Fezai, Wissal; Malek, Mojtaba; Neji, Khaled

doi:10.1016/j.jmig.2021.08.026

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…Cornual pregnancy accounts for 2%–4% of all ectopic pregnancies. [ 1 ] Conventional laparoscopic management includes cornuostomy, cornual resection, and wedge resection. [ 2 3 ] Possible issues with these procedures are disruption of the fetal capsule, injury to the myometrium accompanied by bleeding, and persistence of trophoblastic tissue.…”

Section: S Ettingmentioning

confidence: 99%

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Modified Laparoscopic Cornual Resection for Cornual Pregnancy

Samejima

Netsu

Mitsushita

et al. 2023

Gynecology and Minimally Invasive Therapy

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Section: S Ettingmentioning

confidence: 99%

“…[ 2 3 ] Possible issues with these procedures are disruption of the fetal capsule, injury to the myometrium accompanied by bleeding, and persistence of trophoblastic tissue. [ 1 2 3 ] Our modified cornual resection method can avoid the issues mentioned above.…”

Section: S Ettingmentioning

confidence: 99%

Modified Laparoscopic Cornual Resection for Cornual Pregnancy

Samejima

Netsu

Mitsushita

et al. 2023

Gynecology and Minimally Invasive Therapy

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“…The surgical approach may range from uterine horn resection to hysterectomy in urgent and more complex cases. Although the laparotomic approach is well described and widely used in urgent and complicated cases of CP, the literature is rich with evidence on the conservative and minimally invasive approach provided by laparoscopy [7][8][9][10][11]. This study was thus developed to review our single-center experience in the management of CP, evaluating the diagnostic path and medical and surgical management, as well as any complications, of this rare form of EP.…”

Section: Introductionmentioning

confidence: 99%

Cornual Pregnancy: Results of a Single-Center Retrospective Experience and Systematic Review on Reproductive Outcomes

Mraihi,

Buzzaccarini,

D’Amato

et al. 2024

Medicina

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Background and Objectives: Cornual pregnancies (CPs) are rare forms of ectopic pregnancy. When abortion does not occur, it can be a life-threatening condition for the mother and can also impair future fertility. We present our experience in the diagnosis and management of CPs. A systematic review was also conducted to investigate the reproductive outcomes after treatment. Materials and Methods: Between January 2010 and December 2022, we performed a retrospective, cross-sectional, single-center, and descriptive data collection and analysis (ClinicalTrial ID: NCT06165770). The search for suitable articles published in English was carried out using the following databases (PROSPERO ID: CRD42023484909): MEDLINE, EMBASE, Global Health, The Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Cochrane Methodology Register), Health Technology Assessment Database, Web of Science, and search register such as ClinicalTrial. Only studies describing the impact of CP treatment on fertility were selected. Results: Two studies were included in the systematic review. Seventeen patients suffering from CPs were selected. In our series, a pelvic ultrasound allowed for the diagnosis of a cornual localization in 35.30% of cases. Thirteen women (76.47%) underwent immediate surgical management. The laparoscopic approach was the most used (76.92%), with a laparotomic conversion rate of 30%. Four patients (23.52%) received medical treatment with methotrexate. After treatment, two patients managed to achieve pregnancy. Conclusions: CP is a rare form of ectopic pregnancy that can quickly become life-threatening for the mother. Ultrasound does not lead to a precise diagnosis in all cases. In the absence of complications and emergencies, laparoscopy is an approach that could be considered valid. For selected asymptomatic patients, medical treatment may be a valid alternative. The data from the studies included in the systematic review, although demonstrating a superiority of medical treatment in terms of future pregnancies, are heterogeneous and do not allow us to reach a definitive conclusion.

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Laparoscopic Management of Cornual Ectopic Pregnancy

Kalampokas

Giannis

Kalampokas

et al. 2022

Journal of Human Reproductive Sciences

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Interstitial and cornual pregnancies are dangerous, yet rare, forms of ectopic pregnancy, accounting for 2%–4% of all ectopic pregnancies. A 38-year-old female, para 1, gravida 3 had undergone another in vitro fertilisation (IVF) cycle (a salpingectomy performed elsewhere for treating a hydrosalpinx before a previous IVF attempt). Duration of pregnancy is 6 weeks and 5 days, a transvaginal ultrasound revealed an embryo with a positive foetal heartbeat, located in the left cornuum. As no conservative treatment option could be followed, we proceeded with laparoscopic removal of ectopic pregnancy through cornual resection. Since a specific surgical methodology has not yet been established, presenting more step-by-step surgical approaches that can be used in clinical practice is of high importance. We present a step-by-step surgical approach that we have implemented in cases of cornual pregnancy in our department.

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How to Optimize Laparoscopic Management of Cornual Pregnancy

Cited by 3 publications

References 2 publications

Modified Laparoscopic Cornual Resection for Cornual Pregnancy

Modified Laparoscopic Cornual Resection for Cornual Pregnancy

Cornual Pregnancy: Results of a Single-Center Retrospective Experience and Systematic Review on Reproductive Outcomes

Laparoscopic Management of Cornual Ectopic Pregnancy

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