Document Detail


Laparoscopic management of 53 cases of cornual ectopic pregnancy.
MedLine Citation:
PMID:  18930204     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present our experience of laparoscopic management of cornual ectopic pregnancy. DESIGN: Retrospective review of 53 cases of cornual pregnancy treated laparoscopically. SETTING: K.K. Women's and Children's Hospital, Singapore. PATIENT(S): Patients who were treated for cornual pregnancy via laparoscopic surgery from 2001 to 2006. INTERVENTION(S): Laparoscopic surgery as a treatment modality for cornual pregnancy. MAIN OUTCOME MEASURE(S): Success rate of laparoscopic surgery and future reproductive outcome. RESULT(S): Fifty-two cases were managed by laparoscopy, and one was converted to laparotomy. Laparoscopic wedge resection was carried out in 33 patients, cornuostomy in 13 patients, and salpingectomy in 7 patients. Nine patients received methotrexate injection after surgery because of persistently high serum beta-hCG. Eighteen patients became pregnant, four had early miscarriages, and ten had pregnancies beyond 24 weeks' gestation. Five delivered vaginally, and three had cesarean section at term. Two patients traveled back to their native countries for delivery. There were no cases of uterine rupture or dehiscence reported. CONCLUSION(S): Laparoscopic treatment of cornual pregnancy can be safely carried out with good results in an institution with trained laparoscopist and adequate facilities.
Authors:
Selma Ng; Suttha Hamontri; Irene Chua; Bernard Chern; Anthony Siow
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Publication Detail:
Type:  Journal Article     Date:  2008-10-17
Journal Detail:
Title:  Fertility and sterility     Volume:  92     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-03     Completed Date:  2009-08-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  448-52     Citation Subset:  IM    
Affiliation:
Penang Maternity Hospital, Penang, Malaysia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Fallopian Tubes
Female
Humans
Laparoscopy / methods*
Pregnancy*
Pregnancy Outcome*
Pregnancy, Ectopic / diagnosis,  surgery*
Retrospective Studies
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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