title: [Laparoscopic resection of an interstitial ectopic twin pregnancy resection: the role of barbed sutures in haemostatic control].
abstract: Interstitial pregnancy is a dangerous and uncommon variation of ectopic pregnancy occurring in the interstitial part of the fallopian tube and extending beyond the muscular layer of the uterus. This ectopic pregnancy-related mortality rate has been reported to be as high as 2%-2,5% due to complications involving bleeding and hypervascularity. No prospective clinical trials have evaluated available treatment options for interstitial ectopic pregnancy due to its low incidence; there is thus no consensus regarding optimal treatment. Surgical treatment can be divided into conservative approaches, such as cornuectomy or cornuostomy, and radical approaches such as hysterectomy. However, intraoperative hemorrhage is an ever-present risk, regardless of the surgical approach adopted. This paper presents a case involving a patient who underwent laparoscopic resection of an interstitial twin ectopic pregnancy; a barbed suture pursestring was used which proved useful during the surgical technique and improved hemostasia.
authors: Sección de Cirurgía Mínimamente Invasiva, Departamento de Ginecología, Obstetricia y Reproducción Humana, Hospital Universitario Fundación Santa Fe de Bogotá, Colombia. bcardosom@yahoo.com
authors: Byron
authors: B
authors: Cardoso Medina
authors: Cristian
authors: C
authors: Hernández Giraldo
authors: Juan
authors: J
authors: Manual Clavijo
authors: Piedad
authors: P
authors: Sarmiento
mesh_terms: D000328:Adult; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*; D059285:Pregnancy, Twin; D013537:Sutures