{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:12:41Z","timestamp":1785737561357,"version":"3.56.0"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T00:00:00Z","timestamp":1572393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The maternal mortality of interstitial pregnancy is five times greater than that of other ectopic gestations due to potential haemorrhage. Minimal access surgical techniques usually comprise cornual resection and cornuostomy, requiring laparoscopic suturing skills.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe a case series using a laparoscopic automatic stapling device with reloadable cartridges to resect the cornu, enabling surgeons less familiar with intracorporeal suturing to avoid laparotomy when managing interstitial pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Twelve cases of laparoscopic cornual resections for interstitial pregnancies with the Endo GIA<jats:bold>\u2122<\/jats:bold> Universal Stapler (Medtronic) were collected prospectively over eight years. Outcome measures include human chorionic gonadotropin beta subunit (h\u03b2CG) levels, successful laparoscopic completion, estimated blood loss, intra\u2010and post\u2010operative complications and length of stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median age and gestation at surgery were 31\u00a0years (range: 20\u201344) and eight weeks (range: 5\u201312), respectively. All involved live interstitial gestations, and 4\/12 cases had significant haemoperitoneum at laparoscopy. The median blood loss was 300\u00a0mL (range 100\u20133500), and five women had blood loss &gt;500\u00a0mL. The median serum h\u03b2CG level was 6429\u00a0IU\/L (range: 1800\u201358690), and the median ectopic size was 4\u00a0cm (range 2\u20136). All cases were completed laparoscopically with no intra\u2010 or post\u2010operative complications, although two women required blood transfusions. Median length of stay was 40\u00a0h. Further pregnancies could only be followed in 2\/12 cases due to the migratory nature of our local population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We describe a case series of 12 laparoscopic cornual resections for interstitial pregnancies using Endo GIA<jats:bold>\u2122<\/jats:bold> Universal Stapler, which simultaneously staples and transects the tissues, thus minimising the need for laparoscopic intracorporeal suturing.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13082","type":"journal-article","created":{"date-parts":[[2019,10,31]],"date-time":"2019-10-31T02:31:38Z","timestamp":1572489098000},"page":"130-134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Novel laparoscopic cornual resection of interstitial pregnancy using the Endo GIA\u2122 Universal Stapler (Medtronic): A series of 12 cases"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7286-5968","authenticated-orcid":false,"given":"Wai","family":"Yoong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology North Middlesex University Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Neophytou","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology North Middlesex University Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lester","family":"de Silva","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology North Middlesex University Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adewale","family":"Adeyemo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology North Middlesex University Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasim","family":"Lodhi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology North Middlesex University Hospital NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.07.054"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1576\/toag.9.4.249.27355"},{"key":"e_1_2_6_4_1","first-page":"102","volume-title":"Confidential Enquiry into Maternal and Child Health. Why Mothers Die 2000\u20102","author":"Lewis G","year":"2004"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14189"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.05.006"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000364869"},{"issue":"5","key":"e_1_2_6_8_1","first-page":"426","article-title":"Laparoscopic cornual excision with an automatic stapler for ruptured interstitial pregnancies","volume":"32","author":"Sergent F","year":"2003","journal-title":"J Gynecol Obstet Biol Reprod"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.07.045"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/gyn.2009.0086"},{"key":"e_1_2_6_11_1","first-page":"1","article-title":"Laparoscopic management of interstitial pregnancy with automatic stapler","volume":"10","author":"Akhtar MA","year":"2012","journal-title":"BMJ Case Rep"},{"key":"e_1_2_6_12_1","first-page":"114","article-title":"Laparoscopic management of interstitial ectopic pregnancy with Endo GIA stapler without rupture","volume":"5","author":"Al Harmi R","year":"2018","journal-title":"Obstet Gynecol Cases Rev"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.9738\/INTSURG-D-14-00035.1"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-017-1572-0"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/gyn.2011.0058"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.13082","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13082","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13082","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T16:32:07Z","timestamp":1694017927000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,30]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1111\/ajo.13082"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13082","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,30]]},"assertion":[{"value":"2019-08-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}