Format

Send to

Choose Destination
See comment in PubMed Commons below
Gynecol Obstet Invest. 2014;78(3):141-9. doi: 10.1159/000364869. Epub 2014 Jul 23.

Interstitial pregnancy: a 'road map' of surgical treatment based on a systematic review of the literature.

Author information

1
Department of Obstetrics and Gynecology, University Hospital 'Paolo Giaccone', Palermo, Italy.

Abstract

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 myometrium below the cornual mass was the preferred approach.

PMID:
25060047
DOI:
10.1159/000364869
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for S. Karger AG, Basel, Switzerland
    Loading ...
    Support Center