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Surgical Technique s of Managing Interstitial Pregnancy

Surgical Technique s of Managing Interstitial Pregnancy. Miss Christina Aung Trainee in Obstetrics and Gynaecology East Kent Hospitals University Foundation Trust UK. Objectives:. Background on interstitial pregnancies Cases series and surgical techniques used References. Background.

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Surgical Technique s of Managing Interstitial Pregnancy

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  1. Surgical Techniquesof Managing Interstitial Pregnancy Miss Christina Aung Trainee in Obstetrics and Gynaecology East Kent Hospitals University Foundation Trust UK

  2. Objectives: Background on interstitial pregnancies Cases series and surgical techniques used References

  3. Background Interstitial pregnancy is pregnancy developing in portion of proximal fallopian tube that lies within the muscular wall of the uterus. Incidence: 2-4% Mortality: 2-2.5% Management: Conservative Medical Surgical

  4. Cornuotomy with harmonic scalpel & Cornuotomy with Ligasure and bipolar forceps

  5. Wedge resection with Ligasure and closure of myometrium

  6. Cornuectomy with Ligasure using vasopressin and endo-loops

  7. Conclusion Different energy sources and techniques can be used to achieve the wanted results Preserving cornual integrity following laparoscopic cornuotomy& cronual resectionis important The incidences of subsequent uterine rupture and dehiscence associated with corneal resection have been reported as 30%. Laparoscopic treatment of interstitial pregnancies is effective

  8. References Moawad N, Mahajan S, Moniz M, Taylor S, Hurd WW (2010) Current Diagnosis and treatment of interstitial pregnancy. American Journal of Obstetrics & Gynaecology 202(1): 15-29 Soriano D, Vicus D, Mashiach R, Schiff E, Seidman D, Goldenberg M (2008). Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases, Fertility and Sterility 90(3): 839-843 Jermy K, Thomas J, Doo A, Bourne T (2004) The conservative management of interstitial pregnancy. BJOG: An International Journal of Obstetrics & Gynaecology 111: 1283–1288  Weissman A, Fishman A (1992) Uterine rupture following conservative surgery for interstitial pregnancy. Eur J Obstet Gynecol Reprod Biol 44: 237-9. Choi YS, Eun DS, Choi J, Shin KS, Choi JG, Park HD (2009) Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy. Fertil Steril 91(5):1933-7.

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