Laparoscopic Approach for Ectopic Pregnancy in a Rudimentary Horn: Stepwise Demonstration of Surgical Technique.

Autor:	Siragusa MJ; Servicio de Ginecología, Hospital Italiano de Buenos Aires (Drs. Siragusa, Aspiazu, Marquez, and Saadi), Buenos Aires, Argentina. Electronic address: melina.siragusa@hospitalitaliano.org.ar., Aspiazu ASN; Servicio de Ginecología, Hospital Italiano de Buenos Aires (Drs. Siragusa, Aspiazu, Marquez, and Saadi), Buenos Aires, Argentina., Marquez AA; Servicio de Ginecología, Hospital Italiano de Buenos Aires (Drs. Siragusa, Aspiazu, Marquez, and Saadi), Buenos Aires, Argentina., Chacon CR; Servicio de Diagnóstico por Imágenes, Hospital Italiano de Buenos Aires (Dr. Chacon), Buenos Aires, Argentina., Otaño L; Servicio de Obstetricia, Hospital Italiano de Buenos Aires (Dr. Otaño), Buenos Aires, Argentina., Saadi JM; Servicio de Ginecología, Hospital Italiano de Buenos Aires (Drs. Siragusa, Aspiazu, Marquez, and Saadi), Buenos Aires, Argentina.
Jazyk:	angličtina
Zdroj:	Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2024 Jul; Vol. 31 (7), pp. 556. Date of Electronic Publication: 2024 Mar 28.
DOI:	10.1016/j.jmig.2024.03.008
Abstrakt:	Objective: To provide a comprehensive, step-by-step presentation of the laparoscopic resolution of ectopic pregnancy within a rudimentary uterine horn. Design: A detailed demonstration of the laparoscopic technique presented through narrated video footage. Setting: Pregnancy occurring in the rudimentary horn of a unicornuate uterus represents a rare form of ectopic pregnancy [1]. This condition is associated with a high risk of uterine rupture. Early detection is crucial for effective management and prevention of potential complications [2,3]. In this manuscript, we present a case study of a patient diagnosed with ectopic pregnancy in a rudimentary horn, who underwent successful laparoscopic resection. Interventions: Ten main steps were identified and described in detail during the laparoscopic resection: Step 1: identification of the anatomy; Step 2: uterine mobilization; Step 3: Open retroperitoneum; Step 4: Coagulation and section of left round ligament; Step 5: Bladder dissection; Step 6: Identification of vessels; Step 7: Coagulation and section of left utero-ovarian vessels; Step 8: Coagulation and section of uterine vessels; Step 9: Section of uterine septum; Step 10: Specimen removed. Conclusion: This publication offers a detailed and instructive account of the laparoscopic resection of ectopic pregnancy within a rudimentary uterine horn. The stepwise approach demonstrated in the accompanying video contributes to a deeper understanding of this complex surgical technique. VIDEO ABSTRACT. (Copyright © 2024 AAGL. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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