Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy.

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.