Pramayadi Cepi Teguh, Bramantyo Alvin, Gunardi Eka Rusdianto
Department of Obstetrics and Gynecology, Division of Reproductive Health, Faculty of Medicine, Dr. Cipto Mangunkusumo National General Hospital, University of Indonesia, Jakarta, Indonesia.
Gynecol Minim Invasive Ther. 2018 Oct-Dec;7(4):172-174. doi: 10.4103/GMIT.GMIT_9_18. Epub 2018 Sep 26.
A 35-year-old woman presented with spotting and lower abdominal pain. Follow-up sonography was suggestive of interstitial ectopic pregnancy. Laparoscopic cornuostomy was carried out. Before incision, diluted vasopressin was injected around the site of interstitial pregnancy. Removal of the conceptual tissues was conducted smoothly through a 1.5 cm incision. The overall blood loss was 50 mL. The operative time was 50 min, and there were no intraoperative complications. We successfully performed laparoscopic cornuostomy, which was followed by an unremarkable postoperative course. Laparoscopic surgery is a safe and effective minimally invasive surgical intervention for interstitial ectopic pregnancy if performed by the experienced surgeon. Local vasopressin injection is a good alternative for bleeding control in conservative laparoscopic surgery.
一名35岁女性出现点滴出血和下腹部疼痛。后续超声检查提示间质部异位妊娠。遂行腹腔镜子宫角部造口术。切开前,在间质部妊娠部位周围注射稀释的血管加压素。通过一个1.5厘米的切口顺利取出妊娠组织。总失血量为50毫升。手术时间为50分钟,术中无并发症。我们成功实施了腹腔镜子宫角部造口术,术后过程顺利。如果由经验丰富的外科医生进行,腹腔镜手术是治疗间质部异位妊娠的一种安全有效的微创手术干预方式。局部注射血管加压素是保守性腹腔镜手术中控制出血的良好替代方法。