NDLI: Hemostatic Techniques for Laparoscopic Management of Cornual Pregnancy: Double-Impact Devascularization Technique. (Journal: Journal of Minimally Invasive Gynecology Volume: 23 Issue: 2)

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Hemostatic Techniques for Laparoscopic Management of Cornual Pregnancy: Double-Impact Devascularization Technique. (Journal: Journal of Minimally Invasive Gynecology Volume: 23 Issue: 2)

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Afifi, Yousri Mahmud, Ayesha Fatma, Alfia
Description	Country affiliation: United kingdom Author Affiliation: Afifi Y ( Department of Obstetrics and Gynaecology, Birmingham Women's NHS Foundation Trust, Birmingham, United Kingdom.); Mahmud A ( University of Birmingham, Birmingham Women's NHS Foundation Trust, Birmingham, United Kingdom); Fatma A ( Department of Obstetrics and Gynaecology, Birmingham Women's NHS Foundation Trust, Birmingham, United Kingdom.)
Abstract	Cornual pregnancy is a rare form of ectopic pregnancy, accounting for up to 2% to 4% of all ectopic pregnancies, with a mortality range of 2.0% to 2.5%. Hemorrhage is a key concern in the management of such pregnancies. Traditional treatment options include a conservative approach, failing which patients are offered surgical options such as cornual resection at laparotomy, which carries a high risk of hysterectomy. In recent years newer laparoscopic cornual resection or cornuotomy techniques have been used successfully to achieve better outcomes with fewer complications. We present the double-impact devascularization (DID) technique for laparoscopic management of cornual ectopic pregnancies. This technique permits hemostatic control by compression effect, which in turn allows reduction in procedure-related patient morbidity and mortality. We also provide an overview of other reported methods of hemostatic control used in similar laparoscopic procedures. DID appears to be a useful, safe, minimally invasive technique that can be used in both laparoscopic and open surgical procedures.
File Format	HTM / HTML
ISSN	15534650
Issue Number	2
Volume Number	23
e-ISSN	15534669
Journal	Journal of Minimally Invasive Gynecology
Language	English
Publisher	Elsevier
Publisher Date	2016-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Humans Risk Factors Treatment Outcome Laparoscopy Gestational Age Journal Article Case Reports Pregnancy Hemostatic Techniques Surgery Adult Female Discipline Gynecology Pregnancy, Cornual Diagnosis Early Diagnosis Methods
Content Type	Text
Resource Type	Case study Article
Subject	Obstetrics and Gynecology

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