Technical Notes Surgical treatment of a ruptured interstitial pregnancy - 04/05/22

Doi : 10.1016/j.jogoh.2022.102403

Tiphaine Marchal ^1,⁶, Susie Brousse ^1,⁶, Guillaume Legendre ^2,⁶, Yohann Dabi ^3,⁶, Jennifer Uzan ^4,⁶, Solène Levet ^4,⁶, Clémentine Owen ^4,⁶, Thibault Thubert ^5,⁶, Vincent Lavoué ^1,⁶, Krystel Nyangoh Timoh ^1,^6,^⁎
¹ Department of Gynecology and Obstetrics and Human reproduction, CHU Rennes, Rennes, France
² Department of Gynecology and Obstetrics, CHU Angers, Angers, France
³ Department of Obstetrics and Reproductive Medicine, Hôpital Tenon, Sorbonne University
⁴ Department of Obstetrics and Gynaecology, Centre Hospitalier Intercommunal, Créteil, France; Faculté de Médecine de Créteil UPEC - Paris XII, France
⁵ Department of Obstetrics and Gynecology, Nantes University Hospital, Nantes
⁶ University Rennes 1, France, INSERM, LTSI - UMR 1099

^⁎Corresponding author. Department of Obstetrics and Gynecology, Hôpital Sud, 16, Boulevard de Bulgarie, Rennes, 35200, FranceDepartment of Obstetrics and GynecologyHôpital Sud16, Boulevard de BulgarieRennes35200France

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Abstract

Non-tubal ectopic pregnancies represent fewer than 10% of all ectopic pregnancies. However, they are associated with a high rate of mortality due to late diagnosis and uterine horn rupture which requires radical emergency surgical management. Cornuectomy via laparoscopy is a treatment of choice. We provide here a simple description of laparoscopic cornuectomy using an Endo GIA stapling system: the Endo GIA® automatic forceps. It has the advantage of removing the mass, suturing, and achieving satisfactory haemostasis in a single step.

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Keywords : Non-tubal ectopic pregnancy- surgery- cornuectomy