scholarly journals Hysteroscopy-assisted laparoscopic salpingectomy for interstitial pregnancy without cornual resection

Author(s):  
Ceana Nezhat ◽  
Youssef Youssef ◽  
Andrew A. Toledo
2018 ◽  
Vol 25 (6) ◽  
pp. 1080-1087 ◽  
Author(s):  
Jianmin Chen ◽  
Dong Huang ◽  
Libing Shi ◽  
Liuhang Zhang ◽  
Dongjing Sun ◽  
...  

2019 ◽  
Vol 47 (10) ◽  
pp. 5328-5336
Author(s):  
Zhifen Hua ◽  
Minjun Wu

Laparoscopic salpingectomy (LPSC) is the main treatment for ectopic pregnancy, which leads to spontaneous uterine rupture (UR) during pregnancy. We report the characteristics of a woman who had spontaneous UR during pregnancy with a history of salpingectomy. We experienced a 31-year-old woman with a UR in pregnancy with a history of LPSC twice. The patient had a successful pregnancy. We also performed a literature review including cases with spontaneous UR after LPSC. Twenty-seven case reports of 48 women were included in our review. Thirty-five (83.33%, 35/42) women previously received LPSC and 15 (31.25%) developed interstitial pregnancies. The interval between pregnancy and the last surgery did not affect the frequency of interstitial pregnancy and gestational age. Fetal outcomes in patients with UR at the third trimester were better than those at the first and second trimesters. We suggest that close observation and timely treatment by experienced clinicians lead to good outcomes of pregnant women with suspected UR.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chun Tong ◽  
Lijun Gong ◽  
Yuan Wei ◽  
Zhaohui Liu ◽  
Yiting Wang ◽  
...  

Abstract Background Uterine rupture is a rare, life-threatening event in obstetrics that may be fatal for the mother and fetus. Therefore, obstetricians need to pay attention to and should consider the antenatal diagnosis of uterine rupture in women having its risk factors. Successful conservative management for asymptomatic uterine rupture due to previous laparoscopic surgery for interstitial pregnancy has already been reported but remains understudied. Case presentation A 39-year-old woman was diagnosed asymptomatic uterine rupture at 22 weeks gestation by a routine second-trimester ultrasound scan. She had a history of laparoscopic salpingectomy with cornual wedge resection for interstitial pregnancy 10 months before this pregnancy. Refusing doctor’s twice advice of terminating the pregnancy, the patient insisted carrying on the pregnancy, and followed up by ultrasound and magnetic resonance imaging. Fetal growth was appropriate, fetal movements were good and the patient had no symptoms, without uterine contraction or amniotic fluid loss throughout follow-up period. Caesarean section was carried out at 34 + 1 weeks with a good maternal and neonatal outcome. Conclusions A previous history of laparoscopic salpingectomy with cornual wedge resection could be a risk factor for uterine rupture in pregnant women. Sonographers should be alert to this potential risk in pregnant women with a history of laparoscopic salpingectomy with cornual wedge resection even in asymptomatic patients.


2002 ◽  
Vol 17 (3) ◽  
pp. 543-543 ◽  
Author(s):  
N.P. Johnson ◽  
W. Mak ◽  
M.C. Sowter

1997 ◽  
Vol 58 (2) ◽  
pp. 247-249 ◽  
Author(s):  
A.H.N. Ugwumadu ◽  
R. Hamid ◽  
L.D. Ross

2017 ◽  
Vol 9 (2) ◽  
pp. 190-194 ◽  
Author(s):  
Jamie Kroft ◽  
Michael Ordon ◽  
Leslie Po ◽  
Nora Zwingerman ◽  
Katie Waters ◽  
...  

ABSTRACT Background There is evidence that preoperative practice prior to surgery can improve trainee performance, but the optimal approach has not been studied. Objective We sought to determine if preoperative practice by surgical trainees paired with instructor feedback improved surgical technique, compared to preoperative practice or feedback alone. Methods We conducted a randomized controlled trial of obstetrics-gynecology trainees, stratified on a simulator-assessed surgical skill. Participants were randomized to preoperative practice on a simulator with instructor feedback (PPF), preoperative practice alone (PP), or feedback alone (F). Trainees then completed a laparoscopic salpingectomy, and the operative performance was evaluated using an assessment tool. Results A total of 18 residents were randomized and completed the study, 6 in each arm. The mean baseline score on the simulator was comparable in each group (67% for PPF, 68% for PP, and 70% for F). While the median score on the assessment tool for laparoscopic salpingectomy in the PPF group was the highest, there was no statistically significant difference in assessment scores for the PPF group (32.75; range, 15–36) compared to the PP group (14.5; range, 10–34) and the F group (21.25; range, 10.5–32). The interrater correlation between the video reviewers was 0.87 (95% confidence interval 0.70–0.95) using the intraclass correlation coefficient. Conclusions This study suggests that a surgical preoperative practice with instructor feedback may not improve operative technique compared to either preoperative practice or feedback alone.


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