title: Treatment of cornual heterotopic pregnancy via selective reduction without feticide drug.
abstract: OBJECTIVE
  To treat heterotopic pregnancy with a minimally invasive procedure, absent a feticide drug.
  
  
  METHODS
  Retrospective study (Canadian Classification III).
  
  
  METHODS
  University-affiliated hospital, center of reproductive medicine, department of obstetrics and gynecology, central south university, Changsha Hunan China.
  
  
  METHODS
  A total of nine patients' diagnosed cornual heterotopic pregnancy resulted from assisted reproduction technology. Among nine, five patients selected the cornual embryo reduction.
  
  
  METHODS
  Cornual embryo reduction and preservation of intrauterine embryo were done under guidance of transvaginal ultrasonography at 4-6 weeks after embryo transfer. No drug was given.
  
  
  METHODS
  Safety of operative procedure and pregnancy outcome.
  
  
  RESULTS
  All five patients who underwent selective embryo reduction has no intraoperative or postoperative complication, however 3 of them delivered healthy babies while two aborted.
  
  
  CONCLUSIONS
  An early intervention should be carried in vital stable patients by means of puncturing and aspirating cornual heterotopic pregnancy under transvaginal ultrasound guidance.
authors.affiliation: Centre for Reproductive Medicine, Department of Obstetrics and Gynecology, Xiang-Ya Hospital, Central South University, Changsha, Hunan, China. kindy97@126.com
authors.forename: Zhang
authors.initials: Z
authors.lastname: Qiong
authors.forename: Li
authors.initials: L
authors.lastname: Yanping
authors.forename: Jagat Prasad
authors.initials: JP
authors.lastname: Deep
authors.forename: Deep Jagat
authors.initials: DJ
authors.lastname: Prasad
authors.forename: Zhu
authors.initials: Z
authors.lastname: Lin
mesh_terms: D000328:Adult; D002681:China; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D018607:Pregnancy Reduction, Multifetal / Q000009:adverse effects / Q000379:methods*; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery*; D013396:Suction / Q000009:adverse effects / Q000379:methods; D014463:Ultrasonography