title: Laparoscopic salpingotomy using the floseal hemostatic sealant in patients with tubal pregnancy.
abstract: BACKGROUND
  To present our initial experience with laparoscopic salpingotomy using the Floseal™ (Baxter International Corp., Deerfield, IL) hemostatic matrix for tubal pregnancy and to evaluate the efficacy and tubal patency after salpingotomy.
  
  
  METHODS
  A prospective study was conducted on 20 consecutive patients with tubal pregnancy undergoing laparoscopic salpingotomy using the Floseal hemostatic matrix. The outcome measures were treatment success rates and homolateral patency rates.
  
  
  RESULTS
  Of 20 cases, 19 cases (95%) were successfully performed without any additional intervention, and 1 case was switched to salpingectomy during the initial surgery. During the mean β-human chorionic gonadotropin resolution time of 17.9±6.4 days, postoperative complications or persistent trophoblasts did not occur. Of 19 salpingotomy patients, only 12 patients received a tubal patency test using hysterosalpingography, and the homolateral tubal patency rate was 75% (9 of 12).
  
  
  CONCLUSIONS
  The use of Floseal allows laparoscopic salpingotomy to be performed successfully and easily with comparable outcomes.
authors: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University , Seoul, Republic of Korea.
authors: Taejong
authors: T
authors: Song
authors: Mi Kyoung
authors: MK
authors: Kim
authors: Mi-La
authors: ML
authors: Kim
authors: Yong Wook
authors: YW
authors: Jung
authors: Bo Sung
authors: BS
authors: Yoon
authors: Seok Ju
authors: SJ
authors: Seong
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D007047:Hysterosalpingography; D010535:Laparoscopy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D011446:Prospective Studies; D058994:Salpingectomy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: C411004:FloSeal Matrix; D006490:Hemostatics