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- W2154933260 abstract "The objective of this reportis to describe the possible use of intramiometrial vasoconstrictive agents forlaparoscopic management of interstitial pregnancy and the consequences inanatomical results and reproductive outcomes. Cornualresection can be performed by laparoscopy, but the high vascularization of thisarea may result in profuse bleeding and laparoscopic suturing under theseconditions might be impossible for the majority of the surgeons. We present acase that describes the possible useof intramiometrial instillation of a solution of diluted epinephrine and levobupivacaine underlaparoscopic guidance that permitted a bloodless cornual excision with completereconstruction. Vasoactive agents might have potentiallyserious cardiovascular side effects and the correct election of the activeprinciple and the dosage is essential to reduce the risk of the surgery andobtain good anatomical results andreproductive outcomes. In conclusion, unrupturedinterstitial pregnancies can be managed successfully with intramyometrialinstillation of epinephrine and bupivacaine. This simple technique isparticularly attractive as it facilitates anatomical reconstruction of thecornual area, gives enough time to perform a complete suture of the defect andreduces the risk of laparotomic conversion." @default.
- W2154933260 created "2016-06-24" @default.
- W2154933260 creator A5041953237 @default.
- W2154933260 creator A5060035473 @default.
- W2154933260 date "2014-01-01" @default.
- W2154933260 modified "2023-09-25" @default.
- W2154933260 title "Laparoscopic-assisted instillation of epinephrine and levobupivacaine enables cornual excision and anatomical reconstruction in unruptured cornual pregnancy" @default.
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- W2154933260 doi "https://doi.org/10.4236/ojog.2014.42012" @default.
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