Purse-string suture technique to enable laparoscopic management of the interstitial gestation of a heterotopic pregnancy.
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.
Aust
Thomas
T
Sydney Women's Endosurgery Centre, St. George Private Hospital, Sydney, New South Wales, Australia. tomaust@doctors.org.uk
O'Neill
Aoife
A
Cario
Gregory
G
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