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Case Report



Safe, easily applicable mini-laparotomic surgical steps in cornual ectopic pregnancy: Case report and demonstration of surgical technique

Erhan Okuyan, Caglar Altundal, Zeynep Bayramoglu.

Abstract
In the management of rare cornual ectopic pregnancy, there is no consensus on surgical treatment modalities in obstetric practice. In this article, we aimed to describe the safe and easily applicable minilaparotomic surgical steps with black pencil drawings. A 5-centimeter-size of Pfannenstiel incision was made to enter the abdomen with sterile covering under operating room conditions. After evaluating the topographic anatomy of the uterus and adnexa, a window was opened just below the ligamentum ovarii proprium and skeletonization of the cornual ectopic pregnancy was achieved. Then, ligamentum ovarii proprium was ligated and cut by using 1.0 vicryl and U sutures were placed in 3 planes after skeletalization of cornual ectopic pregnancy mass. After cornuotomy was performed and the pregnancy material was removed the uterine myometrium layer and serosa were closed separately with baseball stitches. Total operation time was 20 minutes, perioperative blood loss was recorded as 50 ccs/dl and the patient was discharged at 24th hour without any complications. With this surgical technique applied with minilaparotomic incision, fertility-preserving surgery can be performed in a short time without causing excessive blood loss or hysterectomy. Studies involving many cases are needed to prove perioperative and postoperative results of this surgical technique.

Key words: Cornual ectopic pregnancy; demonstration of surgical technique; minilaparotomic cornuotomy


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