Share This Article:

Cornual patency and integrity following laparoscopic cornuotomy for interstitial pregnancy

Abstract Full-Text HTML Download Download as PDF (Size:1059KB) PP. 127-130
DOI: 10.4236/ojog.2012.22024    3,790 Downloads   5,914 Views  

ABSTRACT

Objective: To evaluate cornual patency and integrity following laparoscopic cornuotomy. Study Design: This is a prospective cohort study on seven women who underwent laparoscopic cornuotomy for interstitial pregnancy. The cornual patency and integrity were evaluated using hysterosalpingography (HSG) and magnetic resonance imaging (MRI). On MRI, the entire cornual wall thickness were measured bilaterally at 5-mm intervals. The thickness of the affected and unaffected cornua matched at the corresponding contralateral point in each of the women. Statistically, all possible pairwise 28 comparisons were compared using paired t-tests. Results: Among six eligible women, four women had excellent cornual patency on the affected side. Among seven women (i.e., 28 pairs), no significant difference was observed in cornual thickness compared to the unaffected cornu and no remarkable defects were seen in the endometrial and cornual contour. But there is no statistical significance. Conclusion: Laparoscopic cornuotomy seems to have advantage to preserve the cornu in interstitial pregnancy.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Choi, Y. , Eun, D. , Oh, Y. and Park, J. (2012) Cornual patency and integrity following laparoscopic cornuotomy for interstitial pregnancy. Open Journal of Obstetrics and Gynecology, 2, 127-130. doi: 10.4236/ojog.2012.22024.

References

[1] Damario, M.A. and Rock, J.A. (2003) Surgery for obstetrics: Ectopic pregnancy. In: Te Linde’s Operative Gynecology, 9th Edition, Lippincott-Williams & Wilkins Inc., Philadelphia, 798-824.
[2] Dialani, V. and Levine, D. (2004) Ectopic pregnancy: A review. Ultrasound Quarterly, 20, 105-117. doi:10.1097/00013644-200409000-00005
[3] Tulandi, T. and Al-Jaroudi, D. (2004) Interstitial pregnancy: Results generated from the society of reproductive surgeons registry. Obstetrics & Gynecology, 103, 47-50. doi:10.1097/01.AOG.0000109218.24211.79
[4] Downey, G.P. and Tuck, S.M. (1994) Spontaneous uterine rupture during subsequent pregnancy following non-excision of an interstitial ectopic gestation. British Journal of Obstetrics & Gynecology, 101, 162-163. doi:10.1111/j.1471-0528.1994.tb13086.x
[5] Weissman, A. and Fishman, A. (1992) Uterine rupture following conservative surgery for interstitial pregnancy. European Journal of Obstetrics & Gynecology and Reproductive Biology, 44, 237-239. doi:10.1016/0028-2243(92)90105-8
[6] Lau, S. and Tulandi, T. (1999) Conservative medical and surgical management of interstitial ectopic pregnancy. Fertility & Sterility, 72, 207-215. doi:10.1016/S0015-0282(99)00242-3
[7] Chetty, M. and Elson, J. (2009) Treating non-tubal ectopic pregnancy. Best Practice & Research Clinical Obstetrics & Gynecology, 23, 529-538.
[8] Moon, H.S., Choi, Y.J., Park, Y.H. and Kim, S.G. (2000) New simple endoscopic operations for interstitial pregnancies. American Journal of Obstetrics & Gynecology, 182, 114-121. doi:10.1016/S0002-9378(00)70499-6
[9] Choi, Y.S., Eun, D.S., Choi, J., Shin, K.S., Choi, J.H. and Park, H.D. (2009) Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy. Fertility and Sterility, 91, 1933-1937. doi:10.1016/S0002-9378(00)70499-6
[10] Ross, R., Lindheim, S.R., Olive, D.L. and Pritts, E.A. (2006) Cornual gestation: A systematic literature review and two case reports of a novel treatment regimen. Journal of Minimally Invasive Gynecology, 13, 74-78. doi:10.1016/j.jmig.2005.11.005
[11] Lloyd, M.E., Carr, M., McElhatton, P., Hall, G.M. and Hughes, R.A. (1999) The effects of methotrexate on pregnancy, fertility and lactation. QJM: An International Journal of Medicine, 92, 551-563.
[12] Khaled, A.M., Mohamed, H., Ahmed, S., Heba, El.-S. and Amr, O.A. (2005) A prospective comparative study to assess the accuracy of MRI versus HSG in tubouterine causes of female infertility. Middle East Fertility Society Journal, 10, 250-257.
[13] Donnez, O., Jadoul, P., Squifflet, J. and Donnez, J. (2008) Laparoscopic repair of wide and deep uterine scar dehiscence after cesarean section. Fertility and Sterility, 89, 974-980. doi:10.1016/j.fertnstert.2007.04.024
[14] Freeman-Walsh, C.B., Fahrig, R., Ganguly, A., Rieke, V. and Daniel, B.L. (2008) A hybrid radiography/MRI system for combining hysterosalpingography and MRI in infertility patients: Initial experience. American Journal of Roentgenology, 190, 157-160. doi:10.2214/AJR.07.2282

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.