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Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature
Joint Authors
Rezai, Shadi
Henderson, Cassandra E.
Guan, Xiaoming
Giovane, Richard A.
Bardawil, Elise
Minton, Heather
Zhang, Yiming
Patil, Ninad M.
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-04
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Heterotopic pregnancy occurs when two pregnancies occur simultaneously in the uterus and an ectopic location.
Treatment includes removal of the ectopic pregnancy with preservation of the intrauterine pregnancy.
Treatment is done laparoscopically with either a Laparoendoscopic Single-Site Surgery (LESS) or a multiport laparoscopic surgery.
Case.
We present a case of a first trimester heterotopic pregnancy in a 42-year-old gravida 5, para 0-1-3-1 female with previous history of left salpingectomy, who underwent laparoscopic right salpingectomy and lysis of adhesions (LOA) via Single-Incision Laparoscopic Surgery (SILS).
Conclusion.
Although LESS for benign OB/GYN cases is feasible, safe, and equally effective compared to the conventional laparoscopic techniques, studies have suggested no clinically relevant advantages in the frequency of perioperative complications between LESS and conventional methods.
No data on the cost effectiveness of LESS versus conventional methods are available.
LESS utilizes only one surgical incision which may lead to decreased pain and better cosmetic outcome when compared to multiport procedure.
One significant undesirable aspect of LESS is the crowding of the surgical area as only one incision is made.
Therefore, all instruments go through one port, which can lead to obstruction of the surgeon’s vision and in some cases higher rate of procedure failure resulting in conversion to multiport procedure.
American Psychological Association (APA)
Rezai, Shadi& Giovane, Richard A.& Minton, Heather& Bardawil, Elise& Zhang, Yiming& Patil, Ninad M.…[et al.]. 2018. Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature. Case Reports in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1145881
Modern Language Association (MLA)
Rezai, Shadi…[et al.]. Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature. Case Reports in Obstetrics and Gynecology No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1145881
American Medical Association (AMA)
Rezai, Shadi& Giovane, Richard A.& Minton, Heather& Bardawil, Elise& Zhang, Yiming& Patil, Ninad M.…[et al.]. Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature. Case Reports in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1145881
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145881