Document Detail


Purse-string suture technique to enable laparoscopic management of the interstitial gestation of a heterotopic pregnancy.
MedLine Citation:
PMID:  20663497     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Thomas Aust; Aoife O'Neill; Gregory Cario
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  95     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  261-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Society for Reproductive Medicine. All rights reserved.
Affiliation:
Sydney Women's Endosurgery Centre, St. George Private Hospital, Sydney, New South Wales, Australia. tomaust@doctors.org.uk
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