Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy.
OBJECTIVE
To evaluate the efficiency of laparoscopic cornuotomy.


METHODS
Retrospective case review.


METHODS
An urban medical center.


METHODS
Eight patients with interstitial pregnancy who have undergone laparoscopic cornuotomy.


METHODS
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.


METHODS
Operating time, hemorrhage, beta-hCG levels.


RESULTS
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.


CONCLUSIONS
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.
Choi
Young-Sam
YS
Department of Obstetrics and Gynecology, Eun Hospital, Kwang-ju, South Korea. yschoimd@yahoo.co.kr
Eun
Dae-Sook
DS
Choi
Jin
J
Shin
Kwang-Sik
KS
Choi
Ji-Hye
JH
Park
Hyoung-Duck
HD
D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005260:Female; D006801:Humans; D007267:Injections; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013537:Sutures; D014111:Tourniquets; D014667:Vasopressins / Q000008:administration & dosage*
D018997:Chorionic Gonadotropin, beta Subunit, Human; D014667:Vasopressins