title: Purse-string suture technique to enable laparoscopic management of the interstitial gestation of a heterotopic pregnancy.
abstract: OBJECTIVE
  To describe the laparoscopic management of an interstitial gestation of a heterotopic pregnancy.
  
  
  METHODS
  Case report and technique description.
  
  
  METHODS
  Tertiary-level private practice.
  
  
  METHODS
  Woman with a 6-week gestation spontaneous heterotopic twin pregnancy: one twin intrauterine, one interstitial.
  
  
  METHODS
  A purse-string suture was applied to the proximal portion of the interstitial heterotopic pregnancy.
  
  
  METHODS
  To enable a cornual resection to be performed with minimal bleeding and without recourse to laparotomy.
  
  
  RESULTS
  At 8 weeks gestation an ultrasound scan confirmed a viable singleton intrauterine pregnancy, but a scan at 12 weeks showed a missed miscarriage.
  
  
  CONCLUSIONS
  The embedding of the suture into the uterine serosa prevents slipping of the ligature that could occur with a pretied loop.
authors.affiliation: Sydney Women's Endosurgery Centre, St. George Private Hospital, Sydney, New South Wales, Australia. tomaust@doctors.org.uk
authors.forename: Thomas
authors.initials: T
authors.lastname: Aust
authors.forename: Aoife
authors.initials: A
authors.lastname: O'Neill
authors.forename: Gregory
authors.initials: G
authors.lastname: Cario
mesh_terms: D005260:Female; D005313:Fetal Death / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*; D013536:Suture Techniques; D014427:Twins