Document Detail


Laparoscopic uterine vessels occlusion for the treatment of interstitial pregnancy.
MedLine Citation:
PMID:  19405801     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Interstitial pregnancy is a rare form of ectopic pregnancy, but it results in significant maternal morbidity and mortality. In this paper, describe a case of interstitial pregnancy that was successfully managed by laparoscopic occlusion of the ipsilateral ascending branch of uterine artery and the communication of the ovarian artery. It would help to minimize the active bleeding and allow removing the gestation sac, placental tissue, and repair the interstitial tube. In this case, the operative bleeding was 80 mL only, and the operative time was 70 minutes. The patient shared good postoperative recovery, and serum beta human chorionic gonadotropin decreased to below normal levels within 1 month after the operation. This procedure should be considered as a treatment option for unruptured interstitial pregnancy and may allow for conserving the patient's uterus and fallopian tube and preserving the future fertility.
Authors:
Zhongping Cheng; Lizhen Xu; Yu Zhu; Hong Dai; Xiaoyan Qu; Jun Gong
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  19     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-12     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  509-12     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Yangpu Central Hospital, Shanghai, China. mdcheng18@263.net
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MeSH Terms
Descriptor/Qualifier:
Female
Hemostasis, Endoscopic*
Humans
Laparoscopy*
Ovary / blood supply
Pregnancy
Pregnancy, Tubal / pathology,  surgery*
Uterus / blood supply
Young Adult

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


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