Interstitial Pregnancy: A 'Road Map' of Surgical Treatment Based on a Systematic Review of the Literature

被引：33
|
作者：
Cucinella, Gaspare [1 ]
Calagna, Gloria [1 ]
Rotolo, Stefano [1 ]
Granese, Roberta [2 ]
Saitta, Salvatore [3 ]
Tonni, Gabriele [4 ]
Perino, Antonio [1 ]
机构：
[1] Univ Hosp Paolo Giaccone, Dept Obstet & Gynecol, Palermo, Italy
[2] Univ Hosp G Martino, Dept Obstet & Gynecol, Messina, Italy
[3] Univ Hosp G Martino, Dept Clin & Expt Med, Messina, Italy
[4] AUSL Reggio Emilia, Guastalla Civil Hosp, Dept Obstet & Gynecol, IT-42016 Guastalla, Italy
来源：
GYNECOLOGIC AND OBSTETRIC INVESTIGATION | 2014年 / 78卷 / 03期
关键词：
Angular pregnancy; Cornual pregnancy; Ectopic pregnancy; Interstitial pregnancy; LAPAROSCOPIC CORNUAL RESECTION; ECTOPIC PREGNANCY; HETEROTOPIC PREGNANCY; CASE SERIES; MANAGEMENT; SURGERY; METHOTREXATE; HEMOPERITONEUM; SALPINGECTOMY; DIAGNOSIS;
D O I：
10.1159/000364869
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
An electronic search concerning the surgical approach in cases of interstitial pregnancy from January 2000 to May 2013 has been carried out. Fifty three studies have been retrieved and included for statistical analysis. Conservative and radical surgical treatments in 354 cases of interstitial pregnancy are extensively described. Hemostatic techniques have been reported as well as clinical criteria for the medical approach. Surgical outcome in conservative versus radical treatment were similar. When hemostatic techniques were used, lower blood losses and lower operative times were recorded. Conversion to laparotomy involved difficulties in hemostasis and the presence of persistent or multiple adhesions. Laparoscopic injection of vasopressin into the myometriunn below the cornual mass was the preferred approach. (C) 2014 S. Karger AG, Basel
引用
收藏
页码：141 / 149
页数：9
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