Abstract During laparoscopic enucleation of an interstitial pregnancy, adequate hemostatic control is of paramount importance due to the high vascularization of the uterine cornus. However, no consensus or guidance exists regarding the optimal hemostatic technique. We report laparoscopic reversible uterine arteries occlusion as hemostatic technique during laparoscopic enucleation by cornuostomy of an interstitial pregnancy at advanced gestational age (46 × 40 mm gestational sac). Preliminary identification of the uterine arteries and bilateral reversible occlusion by Hem-o-Lok clips allowed bleeding control during surgery. The laparoscopic procedure was performed without complications and with limited blood loss. The reported case reinforces the feasibility of this minimally invasive technique in interstitial pregnancy.
Laparoscopic reversible occlusion of uterine arteries and cornuostomy for advanced interstitial pregnancy
S. Garzon,A. Laganà,P. Pomini,R. Raffaelli,F. Ghezzi,M. Franchi
Published 2018 in MITAT. Minimally invasive therapy & allied technologies
ABSTRACT
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- Publication year
2018
- Venue
MITAT. Minimally invasive therapy & allied technologies
- Publication date
2018-12-04
- Fields of study
Medicine
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- External record
- Source metadata
Semantic Scholar, PubMed
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