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Laparoscopic management of interstitial ectopic pregnancy

Interstitial ectopic pregnancies, commonly reported as “cornual” ectopic pregnancies, are rare, accounting for only 2% to 3% of all tubal ectopic pregnancies. They can be managed medically with methotrexate or surgically via laparotomy or laparoscopy. Many variations of laparoscopic techniques have been described in the literature but no standardized surgical management has been established.

In this video, we begin by reviewing interstitial ectopic pregnancy and surgical approaches to treatment, with a focus on key surgical techniques and steps for successful laparoscopic management.

We then present the case of a 40-year-old woman (G3P1011) at 7 weeks 2 days gestation with a 5-cm left interstitial ectopic pregnancy who underwent a laparoscopic cornual resection.

We hope this video can serve as a quick reference in your practice for the surgical management of interstitial ectopic pregnancies.

 

Vidyard Video


 

Share your thoughts on this video! Send your Letter to the Editor to rbarbieri@frontlinemedcom.com. Please include your name and the city and state in which you practice.

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Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Halfon is Graduated Resident, Department of Obstetrics & Gynecology, Columbia University Medical Center, New York, New York.

Dr. Advincula is the Levine Family Professor of Women’s Health and Vice-Chair, Department of Obstetrics & Gynecology and Chief of Gynecology, Sloane Hospital for Women at Columbia University Medical Center in New York, New York. He serves on the OBG Management Board of Editors.

Dr. Advincula reports being a consultant to Blue Endo, CooperSurgical, Intuitive Surgical, SurgiQuest, Titan Medical, and receiving royalties from CooperSurgical. The other authors report no financial relationships relevant to this article.

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OBG Management - 27(7)
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Arnold P. Advincula MD, Mireille D. Truong MD, Johanna (Jana) K. Halfon MD, Arnold Advincula’s Video Channel, laparoscopic management of interstitial ectopic pregnancy, ectopic pregnancy, cornual ectopic pregnancy, methotrexate, laparotomy, laparoscopy,
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Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Halfon is Graduated Resident, Department of Obstetrics & Gynecology, Columbia University Medical Center, New York, New York.

Dr. Advincula is the Levine Family Professor of Women’s Health and Vice-Chair, Department of Obstetrics & Gynecology and Chief of Gynecology, Sloane Hospital for Women at Columbia University Medical Center in New York, New York. He serves on the OBG Management Board of Editors.

Dr. Advincula reports being a consultant to Blue Endo, CooperSurgical, Intuitive Surgical, SurgiQuest, Titan Medical, and receiving royalties from CooperSurgical. The other authors report no financial relationships relevant to this article.

Author and Disclosure Information

Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Halfon is Graduated Resident, Department of Obstetrics & Gynecology, Columbia University Medical Center, New York, New York.

Dr. Advincula is the Levine Family Professor of Women’s Health and Vice-Chair, Department of Obstetrics & Gynecology and Chief of Gynecology, Sloane Hospital for Women at Columbia University Medical Center in New York, New York. He serves on the OBG Management Board of Editors.

Dr. Advincula reports being a consultant to Blue Endo, CooperSurgical, Intuitive Surgical, SurgiQuest, Titan Medical, and receiving royalties from CooperSurgical. The other authors report no financial relationships relevant to this article.

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Interstitial ectopic pregnancies, commonly reported as “cornual” ectopic pregnancies, are rare, accounting for only 2% to 3% of all tubal ectopic pregnancies. They can be managed medically with methotrexate or surgically via laparotomy or laparoscopy. Many variations of laparoscopic techniques have been described in the literature but no standardized surgical management has been established.

In this video, we begin by reviewing interstitial ectopic pregnancy and surgical approaches to treatment, with a focus on key surgical techniques and steps for successful laparoscopic management.

We then present the case of a 40-year-old woman (G3P1011) at 7 weeks 2 days gestation with a 5-cm left interstitial ectopic pregnancy who underwent a laparoscopic cornual resection.

We hope this video can serve as a quick reference in your practice for the surgical management of interstitial ectopic pregnancies.

 

Vidyard Video


 

Share your thoughts on this video! Send your Letter to the Editor to rbarbieri@frontlinemedcom.com. Please include your name and the city and state in which you practice.

Interstitial ectopic pregnancies, commonly reported as “cornual” ectopic pregnancies, are rare, accounting for only 2% to 3% of all tubal ectopic pregnancies. They can be managed medically with methotrexate or surgically via laparotomy or laparoscopy. Many variations of laparoscopic techniques have been described in the literature but no standardized surgical management has been established.

In this video, we begin by reviewing interstitial ectopic pregnancy and surgical approaches to treatment, with a focus on key surgical techniques and steps for successful laparoscopic management.

We then present the case of a 40-year-old woman (G3P1011) at 7 weeks 2 days gestation with a 5-cm left interstitial ectopic pregnancy who underwent a laparoscopic cornual resection.

We hope this video can serve as a quick reference in your practice for the surgical management of interstitial ectopic pregnancies.

 

Vidyard Video


 

Share your thoughts on this video! Send your Letter to the Editor to rbarbieri@frontlinemedcom.com. Please include your name and the city and state in which you practice.

Issue
OBG Management - 27(7)
Issue
OBG Management - 27(7)
Page Number
52
Page Number
52
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Display Headline
Laparoscopic management of interstitial ectopic pregnancy
Display Headline
Laparoscopic management of interstitial ectopic pregnancy
Legacy Keywords
Arnold P. Advincula MD, Mireille D. Truong MD, Johanna (Jana) K. Halfon MD, Arnold Advincula’s Video Channel, laparoscopic management of interstitial ectopic pregnancy, ectopic pregnancy, cornual ectopic pregnancy, methotrexate, laparotomy, laparoscopy,
Legacy Keywords
Arnold P. Advincula MD, Mireille D. Truong MD, Johanna (Jana) K. Halfon MD, Arnold Advincula’s Video Channel, laparoscopic management of interstitial ectopic pregnancy, ectopic pregnancy, cornual ectopic pregnancy, methotrexate, laparotomy, laparoscopy,
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