Fertility and sterility · 2011
Purse-string suture technique to enable laparoscopic management of the interstitial gestation of a heterotopic pregnancy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Aust Thomas, O'Neill Aoife, Cario Gregory
Аннотация
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.
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.