Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy
Received 9 October 2007; received in revised form 4 February 2008; accepted 4 February 2008. published online 04 April 2008.
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, β-hCG levels.
Result(s)
The estimated blood loss was 50 ± 22 mL (mean ± SD), and the operating time was 58 ± 16 minutes. The serum β-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.
aDepartment of Obstetrics and Gynecology, Eun Hospital, Kwang-ju, South Korea
bDepartment of Radiology, Eun Hospital, Kwang-ju, South Korea
cDepartment of Anesthesiology of Eun Hospital, Kwang-ju, South Korea
Reprint requests: Young-Sam Choi, M.D., Department of Obstetrics and Gynecology, Eun Hospital, 882-27 Duam 1-Dong, Buk-Gu, Kwang-Ju, South Korea (FAX: 82-62-269-1516).
D.-S.E. has nothing to disclose. Y.-S.C. has nothing to disclose. J.C. has nothing to disclose. K.-S.S. has nothing to disclose. J.-H.C. has nothing to disclose. H.-D.P. has nothing to disclose.
ABSTRACT