Ayesha Mahmud
Birmingham Women’s NHS Foundation Trust, UK
Title: Haemostatic techniques for laparoscopic management of cornual pregnancy: The double impact devascularization technique
Biography
Biography: Ayesha Mahmud
Abstract
Cornual pregnancy is a rare form of ectopic pregnancy, accounting for up to 2% to 4% of all ectopic pregnancies with a mortality range of 2.0% to 2.5%. Hemorrhage is a key concern in the management of such pregnancies. Traditional treatment options include a conservative approach, failing which patients are offered surgical options such as cornual resection at laparotomy which carries a high risk of hysterectomy. In recent years newer laparoscopic cornual resection or cornuotomy techniques have been used successfully to achieve better outcomes with fewer complications. We present the double-impact devascularization (DID) technique for laparoscopic management of cornual ectopic pregnancies. This technique permits hemostatic control by compression effect, which in turn allows reduction in procedure-related patient morbidity and mortality. We also provide an overview of other reported methods of hemostatic control used in similar laparoscopic procedures. DID is a useful, safe and minimally invasive technique that can be used in both laparoscopic and open surgical procedures