Recurrent Uterine Rupture After Laparoscopic Surgery for Interstitial Ectopic Pregnancy

Muglu, Javaid; Uchil, Dhiraj; Sau, Ashis; Zamblera, Dan; Jolaoso, A.

doi:10.1089/gyn.2011.0059

Cited by 3 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our literature review identified 48 cases of spontaneous UR during pregnancy with prior salpingectomy reported in 27 publications 1–4,6–28 (Table 1). The mean (± standard deviation) age of the women was 30.2 ± 5.3 years.…”

Section: Resultsmentioning

confidence: 99%

Spontaneous rupture of the uterus following salpingectomy: a case report and literature review

Hua

2019

J Int Med Res

View full text Add to dashboard Cite

Laparoscopic salpingectomy (LPSC) is the main treatment for ectopic pregnancy, which leads to spontaneous uterine rupture (UR) during pregnancy. We report the characteristics of a woman who had spontaneous UR during pregnancy with a history of salpingectomy. We experienced a 31-year-old woman with a UR in pregnancy with a history of LPSC twice. The patient had a successful pregnancy. We also performed a literature review including cases with spontaneous UR after LPSC. Twenty-seven case reports of 48 women were included in our review. Thirty-five (83.33%, 35/42) women previously received LPSC and 15 (31.25%) developed interstitial pregnancies. The interval between pregnancy and the last surgery did not affect the frequency of interstitial pregnancy and gestational age. Fetal outcomes in patients with UR at the third trimester were better than those at the first and second trimesters. We suggest that close observation and timely treatment by experienced clinicians lead to good outcomes of pregnant women with suspected UR.

show abstract

Section: Resultsmentioning

confidence: 99%

Spontaneous rupture of the uterus following salpingectomy: a case report and literature review

Hua

2019

J Int Med Res

View full text Add to dashboard Cite

show abstract

“…A key concern for future pregnancy is the risk of uterine rupture as the endometrial cavity would have been inevitably breached during the laparoscopic cornual resection (irrespective of technique of excision); thus, patients must be counselled regarding the necessity of elective caesarean delivery. Even though successful vaginal deliveries have been reported following cornual resection or cornuostomy according to the review by Cucinella et al ., recurrent cornual rupture has also been documented, especially if electrocautery has been extensively used …”

Section: Discussionmentioning

confidence: 99%

Novel laparoscopic cornual resection of interstitial pregnancy using the Endo GIA™ Universal Stapler (Medtronic): A series of 12 cases

Yoong

Neophytou

Silva

et al. 2019

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

Background The maternal mortality of interstitial pregnancy is five times greater than that of other ectopic gestations due to potential haemorrhage. Minimal access surgical techniques usually comprise cornual resection and cornuostomy, requiring laparoscopic suturing skills. Aim To describe a case series using a laparoscopic automatic stapling device with reloadable cartridges to resect the cornu, enabling surgeons less familiar with intracorporeal suturing to avoid laparotomy when managing interstitial pregnancy. Materials and Methods Twelve cases of laparoscopic cornual resections for interstitial pregnancies with the Endo GIA™ Universal Stapler (Medtronic) were collected prospectively over eight years. Outcome measures include human chorionic gonadotropin beta subunit (hβCG) levels, successful laparoscopic completion, estimated blood loss, intra‐and post‐operative complications and length of stay. Results Median age and gestation at surgery were 31 years (range: 20–44) and eight weeks (range: 5–12), respectively. All involved live interstitial gestations, and 4/12 cases had significant haemoperitoneum at laparoscopy. The median blood loss was 300 mL (range 100–3500), and five women had blood loss >500 mL. The median serum hβCG level was 6429 IU/L (range: 1800–58690), and the median ectopic size was 4 cm (range 2–6). All cases were completed laparoscopically with no intra‐ or post‐operative complications, although two women required blood transfusions. Median length of stay was 40 h. Further pregnancies could only be followed in 2/12 cases due to the migratory nature of our local population. Conclusion We describe a case series of 12 laparoscopic cornual resections for interstitial pregnancies using Endo GIA™ Universal Stapler, which simultaneously staples and transects the tissues, thus minimising the need for laparoscopic intracorporeal suturing.

show abstract

Interstitial Pregnancy: A ‘Road Map' of Surgical Treatment Based on a Systematic Review of the Literature

Cucinella¹,

Calagna²,

Rotolo³

et al. 2014

Gynecol Obstet Invest

View full text Add to dashboard Cite

An electronic search concerning the surgical approach in cases of interstitial pregnancy from January 2000 to May 2013 has been carried out. Fifty three studies have been retrieved and included for statistical analysis. Conservative and radical surgical treatments in 354 cases of interstitial pregnancy are extensively described. Hemostatic techniques have been reported as well as clinical criteria for the medical approach. Surgical outcome in conservative versus radical treatment were similar. When hemostatic techniques were used, lower blood losses and lower operative times were recorded. Conversion to laparotomy involved difficulties in hemostasis and the presence of persistent or multiple adhesions. Laparoscopic injection of vasopressin into the myometrium below the cornual mass was the preferred approach.

show abstract

Recurrent Uterine Rupture After Laparoscopic Surgery for Interstitial Ectopic Pregnancy

Cited by 3 publications

References 10 publications

Spontaneous rupture of the uterus following salpingectomy: a case report and literature review

Spontaneous rupture of the uterus following salpingectomy: a case report and literature review

Novel laparoscopic cornual resection of interstitial pregnancy using the Endo GIA™ Universal Stapler (Medtronic): A series of 12 cases

Interstitial Pregnancy: A ‘Road Map' of Surgical Treatment Based on a Systematic Review of the Literature

Contact Info

Product

Resources

About