| Laparoscopic management of cervical-isthmic pregnancy: a proposal method. | |
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MedLine Citation:
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PMID: 19524891 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe a rare case of a singleton 9-week cervical-isthmic pregnancy (CIP), treated by laparoscopic removal of the ectopic pregnancy and suturing of the uterine site of the ectopic pregnancy with single stitches. DESIGN: Case report. SETTING: Main general hospital. PATIENT(S): A 37-year-old woman was admitted for suspected singleton CIP at week 9, following two Cesarean sections. Clinical examination, beta-hCG increase, and transvaginal ultrasonography were used to monitor the suspected diagnosis of an ectopic pregnancy. Following failure of methotrexate administration, surgeons performed a laparoscopy. INTERVENTION(S): The CIP removal was performed by laparoscopic incision, enucleating the isthmic mass and suturing the uterine site of the ectopic pregnancy with single stitches. MAIN OUTCOME MEASURE(S): Intraprocedural or postprocedural complications and uterine integrity preservation. RESULT(S): Postoperative recovery period was normal, without intraprocedural or postprocedural complications. Uterine integrity was preserved. No further therapeutic interventions were needed in follow-up. CONCLUSION(S): In the case of CIP in women interested in minimally invasive treatment, resection of an ectopic pregnancy and suturing of the removal site may be an option to preserve uterine integrity. By improving endosurgical skills, these treatments may be safely proposed avoiding further invasive therapies. |
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Authors:
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Andrea Tinelli; Raffaele Tinelli; Antonio Malvasi |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-06-13 |
Journal Detail:
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Title: Fertility and sterility Volume: 92 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-08-03 Completed Date: 2009-08-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 829.e3-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Vito Fazzi Hospital, Lecce, Italy. andreatinelli@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cervix Uteri Female Humans Laparoscopy / methods* Pregnancy* Pregnancy, Ectopic / surgery* Suture Techniques* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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