Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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Recurrent ectopic pregnancy on tubal remnant treated by laparoscopic resection: loop and stitch

S. Restaino 1, A. Vidiri 2, L. Anchora Pedone 1, A. Finelli 3, M. Distefano 4, G. Scambia 4

1 Division of gynecological oncology, Department of Obstetrics and Gynaecology, Catholic University of Sacred Heart, L.go A. Gemelli; 00167 Rome, Italy;
2 Catholic University of Sacred Heart, L.go Francesco Vito; 00167, Rome, Italy;
3 Department of Medicine and Aging Sciences University of Chieti-Pescara, Via dei Vestini 131, 66100 Chieti, Italy;
4 Division of gynecological Oncology, Department of Obstetrics and Gynaecology, Catholic University of Sacred Heart, L.go A. Gemelli; 00167 Rome, Italy.

Keywords:

ectopic pregnancy, laparoscopy, endoloops®


Published online: Jun 28 2021

https://doi.org/10.52054/FVVO.13.2.020

Abstract

Ectopic pregnancies occur in about 1-2 % of all pregnancies, with a high rate of maternal mortality due to bleeding caused by the rupture of the ectopic pregnancy. Ipsilateral ectopic pregnancy on a tubal remnant after salpingectomy is rare and it is associated with a higher mortality rate when compared to other ectopic pregnancies. Diagnosis and treatment of these pregnancies can be difficult, requiring a multidisciplinary management to plan the best treatment for the patient. The objective of this video is to show the laparoscopic removal of a tubal pregnancy on the stump of a previous salpingectomy with the application of three laparoscopic rings/endoloops ® to isolate the tubal portion from the uterus.

Video scan (read QR)

https://vimeo.com/497559243/eb7a724607

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