title: Successful management of heterotopic cornual pregnancy with laparoscopic cornual resection.
abstract: OBJECTIVE
  To examine the feasibility of laparoscopic cornual resection for the treatment of heterotopic cornual pregnancy.
  
  
  METHODS
  Women who underwent laparoscopic cornual resection for heterotopic cornual pregnancy at our hospital between January 2003 and March 2015 were retrospectively analyzed. We evaluated significant parameters such as operative complications and postoperative pregnancy outcomes of concomitant pregnancy.
  
  
  RESULTS
  Thirteen patients with heterotopic cornual pregnancy were included in the study. All were pregnant through assisted reproductive technology, and the diagnosis was made at a median of 6+6 weeks (range 5+4-10+0). They were successfully treated with laparoscopic cornual resection and admitted for a median of 4 days (range, 2-7) postoperatively. The median operative time was 65min (range, 35-145min) and estimated blood loss was 200mL (range, 10-3000mL). There was a spontaneous abortion at 7+6 gestational weeks in a patient who received bilateral cornual resection. Seven patients delivered babies at term and 3 at preterm. All 10 women delivered without any maternal or neonatal complications. Two were lost to follow-up.
  
  
  CONCLUSIONS
  Laparoscopic cornual resection is a feasible primary approach for the management of heterotopic cornual pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, Fertility Center of CHA Gangnam Medical Center, College of Medicine, CHA University, Seoul, Republic of Korea.
authors.forename: Myung Joo
authors.initials: MJ
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, College of Medicine, CHA University, Seoul, Republic of Korea.
authors.forename: Yong Wook
authors.initials: YW
authors.lastname: Jung
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, College of Medicine, CHA University, Seoul, Republic of Korea.
authors.forename: Jae-Ho
authors.initials: JH
authors.lastname: Cha
authors.affiliation: Department of Obstetrics and Gynecology, Fertility Center of CHA Gangnam Medical Center, College of Medicine, CHA University, Seoul, Republic of Korea.
authors.forename: Hyun Ha
authors.initials: HH
authors.lastname: Seok
authors.affiliation: Department of Obstetrics and Gynecology, Fertility Center of CHA Gangnam Medical Center, College of Medicine, CHA University, Seoul, Republic of Korea.
authors.forename: Ji Eun
authors.initials: JE
authors.lastname: Han
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, College of Medicine, CHA University, Seoul, Republic of Korea.
authors.forename: Seok Ju
authors.initials: SJ
authors.lastname: Seong
authors.affiliation: Department of Obstetrics and Gynecology, Fertility Center of CHA Gangnam Medical Center, College of Medicine, CHA University, Seoul, Republic of Korea. Electronic address: medikys@cha.ac.kr.
authors.forename: You Shin
authors.initials: YS
authors.lastname: Kim
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005187:Fallopian Tubes / Q000000981:diagnostic imaging / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D033162:Incidental Findings; D010535:Laparoscopy; D050498:Live Birth; D059012:Lost to Follow-Up; D061646:Operative Time; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal / Q000379:methods*; D011261:Pregnancy Trimester, First; D065173:Pregnancy, Cornual / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D063192:Pregnancy, Heterotopic / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D016216:Ultrasonography, Prenatal; D014599:Uterus / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Cornual pregnancy; Heterotopic pregnancy; Interstitial pregnancy; Laparoscopic surgery; Pregnancy complications