Fertility and sterility · 2008
Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Choi Young-Sam, Eun Dae-Sook, Choi Jin, Shin Kwang-Sik, Choi Ji-Hye, Park Hyoung-Duck
Аннотация
OBJECTIVE: To evaluate the efficiency of laparoscopic cornuotomy.
DESIGN: Retrospective case review.
SETTING: An urban medical center.
PATIENT(S): Eight patients with interstitial pregnancy who have undergone laparoscopic cornuotomy.
INTERVENTION(S): Laparoscopic cornuotomy was performed using a temporary tourniquet suture and the injection of diluted vasopressin around the cornual mass. The tourniquet suture was removed completely after repairing the cornu.
MAIN OUTCOME MEASURE(S): Operating time, hemorrhage, beta-hCG levels.
RESULT(S): The estimated blood loss was 50 +/- 22 mL (mean +/- SD), and the operating time was 58 +/- 16 minutes. The serum beta-hCG level returned to within the normal range approximately 4 weeks postoperatively in all patients. There were no major postoperative complications, such as hemorrhage, and no postoperative adjuvant therapy was required.
CONCLUSION(S): Laparoscopic cornuotomy is a safe and effective method in interstitial pregnancy, and we believe that it has the advantage of preserving reproductive capacity over cornual resection.
DESIGN: Retrospective case review.
SETTING: An urban medical center.
PATIENT(S): Eight patients with interstitial pregnancy who have undergone laparoscopic cornuotomy.
INTERVENTION(S): Laparoscopic cornuotomy was performed using a temporary tourniquet suture and the injection of diluted vasopressin around the cornual mass. The tourniquet suture was removed completely after repairing the cornu.
MAIN OUTCOME MEASURE(S): Operating time, hemorrhage, beta-hCG levels.
RESULT(S): The estimated blood loss was 50 +/- 22 mL (mean +/- SD), and the operating time was 58 +/- 16 minutes. The serum beta-hCG level returned to within the normal range approximately 4 weeks postoperatively in all patients. There were no major postoperative complications, such as hemorrhage, and no postoperative adjuvant therapy was required.
CONCLUSION(S): Laparoscopic cornuotomy is a safe and effective method in interstitial pregnancy, and we believe that it has the advantage of preserving reproductive capacity over cornual resection.