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

Facts Views Vis ObGyn 2021;13(2):183-186

DOI: 10.52054/FVVO.13.2.020

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

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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.

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https://vimeo.com/497559243/eb7a724607

Keywords:

ectopic pregnancy, laparoscopy, endoloops®