| Purse-string suture technique to enable laparoscopic management of the interstitial gestation of a heterotopic pregnancy. | |
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MedLine Citation:
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PMID: 20663497 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To describe the laparoscopic management of an interstitial gestation of a heterotopic pregnancy. DESIGN: Case report and technique description. SETTING: Tertiary-level private practice. PATIENT(S): Woman with a 6-week gestation spontaneous heterotopic twin pregnancy: one twin intrauterine, one interstitial. INTERVENTION(S): A purse-string suture was applied to the proximal portion of the interstitial heterotopic pregnancy. MAIN OUTCOME MEASURE(S): To enable a cornual resection to be performed with minimal bleeding and without recourse to laparotomy. RESULT(S): At 8 weeks gestation an ultrasound scan confirmed a viable singleton intrauterine pregnancy, but a scan at 12 weeks showed a missed miscarriage. CONCLUSION(S): The embedding of the suture into the uterine serosa prevents slipping of the ligature that could occur with a pretied loop. |
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Authors:
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Thomas Aust; Aoife O'Neill; Gregory Cario |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Fertility and sterility Volume: 95 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-20 Completed Date: - 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: 261-3 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 American Society for Reproductive Medicine. All rights reserved. |
Affiliation:
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Sydney Women's Endosurgery Centre, St. George Private Hospital, Sydney, New South Wales, Australia. tomaust@doctors.org.uk |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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