JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 5 (September 2019)
Japanese

A woman with interstitial tubal pregnancy who underwent laparoscopic strangulation avascularization in the uterine cervix followed by cornual wedge resection Osamu SATO 1 1Departments of Obstetrics and Gynecology, Tomakomai City General hospital Keyword: 卵管間質部妊娠 , ネラトンカテーテル , 腹腔鏡下手術 pp.440-444
Published Date 2019/9/15
DOI https://doi.org/10.11477/mf.4426200739
  • Abstract
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 Laparoscopic surgery of interstitial tubal pregnancy is associated with a risk of massive hemorrhage, necessitating hemorrhage reduction strategies. Herein, we applied a uterine cervix strangulation method using a Nelaton catheter, which is employed for myomectomy, to achieve avascularization, and were able to carry out the surgery. The Nelaton catheter was easily fixed using a Hem-o-lok®, intraoperative hemorrhage was minimal, and the surgical field was well maintained. Although this method is potentially difficult because of factors such as adhesion and tumors, it may be a useful option for hemorrhage reduction due to the use of other methods or drugs being circumvented.


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基本情報

13446703.24.5.jpg
日本内視鏡外科学会雑誌
24巻5号 (2019年9月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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