title: Interstitial pregnancy: a 'road map' of surgical treatment based on a systematic review of the literature.
abstract: An electronic search concerning the surgical approach in cases of interstitial pregnancy from January 2000 to May 2013 has been carried out. Fifty three studies have been retrieved and included for statistical analysis. Conservative and radical surgical treatments in 354 cases of interstitial pregnancy are extensively described. Hemostatic techniques have been reported as well as clinical criteria for the medical approach. Surgical outcome in conservative versus radical treatment were similar. When hemostatic techniques were used, lower blood losses and lower operative times were recorded. Conversion to laparotomy involved difficulties in hemostasis and the presence of persistent or multiple adhesions. Laparoscopic injection of vasopressin into the myometrium below the cornual mass was the preferred approach.
authors: Department of Obstetrics and Gynecology, University Hospital 'Paolo Giaccone', Palermo, Italy.
authors: Gaspare
authors: G
authors: Cucinella
authors: Gloria
authors: G
authors: Calagna
authors: Stefano
authors: S
authors: Rotolo
authors: Roberta
authors: R
authors: Granese
authors: Salvatore
authors: S
authors: Saitta
authors: Gabriele
authors: G
authors: Tonni
authors: Antonio
authors: A
authors: Perino
mesh_terms: D005260:Female; D016558:Hemostasis, Endoscopic / Q000379:methods* / Q000592:standards; D006488:Hemostasis, Surgical / Q000379:methods* / Q000592:standards; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000592:standards; D013513:Obstetric Surgical Procedures / Q000379:methods* / Q000592:standards; D011247:Pregnancy; D065167:Pregnancy, Interstitial / Q000188:drug therapy / Q000601:surgery*