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Laparoscopy-assisted vaginal cornual resection for the treatment of large interstitial pregnancy
1Department of Obstetrics and Gynaecology, No. 451 Hospital of the PLA, Xi'an, Shaanxi, China.
Purpose:
To present the experience of laparoscopy-assisted vaginal cornual resection for the treatment of two cases of large interstitial pregnancy.
Subjects And Methods:
Surgeons performed laparoscopic cornual resection initially for the first case but encountered torrential hemorrhage, which was controlled immediately by conversion to the vaginal approach. Following this experience, laparoscopy-assisted vaginal cornual resection was performed directly after laparoscopic inspection for the second case.
Results:
Both cases were treated successfully by laparoscopy-assisted vaginal cornual resection. Hemostasis and uterine repair seem to be easier by the laparoscopy-assisted vaginal route than by the purely laparoscopic approach. No similar case has been reported in the literature.
Conclusions:
Our experience suggests that laparoscopy-assisted vaginal cornual resection may be a preferable alternative to laparoscopy in treating a large interstitial pregnancy. More studies are needed to confirm this finding.
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