title: [Pelviscopic salpingectomy in ruptured extrauterine pregnancy using an automatic stapler-incision instrument].
abstract: The case report presented describes pelviscopic salpingectomy with ruptured tubal pregnancy carried out by an automatic stapling and cutting instrument. This instrument (EndoGIA 30) was developed for endoscopic intestinal surgery by the Autosuture company. It can be inserted via a 12 mm trocar and allows threefold clip suture of 3.3 cm length on each side of the automatically cut tissue. The clip suture is absolutely blood dry and does not pull anatomic structures out of shape. Unfortunately, the instrument is available for single use only and thus more expensive than the traditional "Semm's three-ligature method" (1979). Nevertheless, it will add an improvement to minimal invasive surgery. One of the indication for its use is to avoid laparotomy in individual cases.
authors.affiliation: Universitäts-Frauenklinik Göttingen.
authors.forename: G
authors.initials: G
authors.lastname: Wilke
authors.forename: W
authors.initials: W
authors.lastname: Kuhn
mesh_terms: D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D020706:Laparoscopes; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012422:Rupture, Spontaneous; D012489:Salpingostomy / Q000295:instrumentation*; D013525:Surgical Instruments; D013528:Surgical Staplers