[First trimester abdominal pregnancy and laparoscopic surgical treatment. 2 case reports of evolving abdominal pregnancy treated with laparoscopy at 10 and 12 weeks].
Abdominal pregnancy occurs rarely and few observations of laparoscopic surgical treatment have been published. We observed 2 cases at 10 and 12 weeks of amenorrhoea. During one of the operations, it was particularly difficult to establish haemostasis, demonstrating the problems involved with laparoscopic surgery, highly dependent on gestational age and trophoblastic localization. Based on the epidemiological and diagnostic data we propose a therapeutic protocol for laparoscopic surgery in first-trimester abdominal pregnancies, taking into consideration the cases previously reported and current care for extrauterine pregnancy and late abdominal pregnancy.
Abossolo
T
T
CHD Félix-Guyon, Saint-Denis, La Réunion.
Sommer
J C
JC
Dancoisne
P
P
Orvain
E
E
Tuaillon
J
J
Isoard
L
L
D000293:Adolescent; D000328:Adult; D002985:Clinical Protocols; D005260:Female; D005865:Gestational Age; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010929:Placentation; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011269:Pregnancy, Abdominal / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D014463:Ultrasonography
Grossesse abdominale du premier trimestre et traitement coelio-chirurgical. A propos de deux cas de grossesse abdominale évolutive traités par coelioscopie à 10 et 12 semaines d'aménorrhée.