Journal
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
Volume 28, Issue 6, Pages 359-362Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/13645706.2018.1547764
Keywords
Interstitial pregnancy; laparoscopy; uterine arteries occlusion; cornuostomy; Hem-o-Lok
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During laparoscopic enucleation of an interstitial pregnancy, adequate hemostatic control is of paramount importance due to the high vascularization of the uterine cornus. However, no consensus or guidance exists regarding the optimal hemostatic technique. We report laparoscopic reversible uterine arteries occlusion as hemostatic technique during laparoscopic enucleation by cornuostomy of an interstitial pregnancy at advanced gestational age (46???40?mm gestational sac). Preliminary identification of the uterine arteries and bilateral reversible occlusion by Hem-o-Lok clips allowed bleeding control during surgery. The laparoscopic procedure was performed without complications and with limited blood loss. The reported case reinforces the feasibility of this minimally invasive technique in interstitial pregnancy.
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