title: Laparoscopic management of interstitial pregnancy: the "purse-string" technique.
abstract: We report five cases of interstitial pregnancy, treated between 2004 and 2010, to evaluate surgical and obstetric outcome of laparoscopic cornual resection with a "purse-string" technique. A hemostatic suture was passed at the base of the mass in a purse-string fashion prior to resection, to minimize intraoperative blood loss. Subsequent pregnancies were analysed, with a mean follow-up time of 48 months. The mean operating time was 39 min and mean blood loss 47 mL. Three of four patients who desired children delivered at term uneventfully. Laparoscopic cornual resection with a "purse-string" technique appears to be useful for treatment of early interstitial pregnancy. The technique ensures effective and safe treatment, with satisfactory obstetric outcome.
authors.affiliation: Departments of Obstetrics and Gynecology, University Hospital Paolo Giaccone, Palermo, Italy.
authors.forename: Gaspare
authors.initials: G
authors.lastname: Cucinella
authors.forename: Stefano
authors.initials: S
authors.lastname: Rotolo
authors.forename: Gloria
authors.initials: G
authors.lastname: Calagna
authors.forename: Roberta
authors.initials: R
authors.lastname: Granese
authors.forename: Antonino
authors.initials: A
authors.lastname: Agrusa
authors.forename: Antonio
authors.initials: A
authors.lastname: Perino
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000097:blood; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood*; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D059247:Fertility Preservation; D005865:Gestational Age; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D018997:Chorionic Gonadotropin, beta Subunit, Human