{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:23:47Z","timestamp":1756383827274},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,6,8]],"date-time":"2012-06-08T00:00:00Z","timestamp":1339113600000},"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":[[2012,8]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To analyse the optimal laparoscopic surgical techniques for the treatment of interstitial pregnancy to minimise bleeding during the operative procedure and the safety of the subsequent pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Advanced bipolar coagulator was used to achieve haemostasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean gestational age was 55\u00a0\u00b1\u00a05.1\u00a0days. All 17 women with an interstitial pregnancy were successfully treated by laparoscopic surgery without any complication. No surgery was converted to laparotomy. The mean pre\u2010operative beta\u2010human chorionic gonadotropin (\u03b2\u2010<jats:styled-content style=\"fixed-case\">hCG<\/jats:styled-content>) serum concentration was 14\u00a0696\u00a0\u00b1\u00a011\u00a0705\u00a0mIU\/mL. This value decreased to 1911\u00a0\u00b1\u00a01769\u00a0mIU\/mL at 3\u2010day post\u2010operation. Among women who underwent laparoscopic surgery, a cornual resection was performed in 16 (94.1%) cases. One (5.8%) woman underwent a laparoscopic evacuation of the conceptus and received a local injection of 10\u00a0mg methotrexate. The volume of blood loss was &lt;25\u00a0mL in 16 cases. However, one woman experienced a rupture at the beginning of the operation and lost 250\u00a0mL of blood. The mean hospital stay was 4.5\u00a0days. Four of the nine women who chose to retain their reproductive function had subsequent normal pregnancies, but all received an elective caesarean delivery prior to labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The laparoscopic management of women with unruptured interstitial pregnancy can frequently be performed without haemorrhage or complication using advanced bipolar coagulation. The small sample of successful subsequent pregnancies demonstrates the safety and effectiveness of this technique, but this finding should be confirmed by further investigations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1479-828x.2012.01455.x","type":"journal-article","created":{"date-parts":[[2012,6,8]],"date-time":"2012-06-08T07:21:26Z","timestamp":1339140086000},"page":"387-390","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Successful management of unruptured interstitial pregnancy in 17 consecutive cases by using laparoscopic surgery"],"prefix":"10.1111","volume":"52","author":[{"given":"Xulei","family":"Zuo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology The Jinshan Hospital of Shanghai Medical College Fudan University Shanghai China"},{"name":"Department of Obstetrics and Gynaecology Tongji Hospital of Tongji University Shanghai China"},{"name":"Department of Obstetrics and Gynaecology Changning District Central Hospital Changning Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiqun","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Tongji Hospital of Tongji University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meixin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Changning District Central Hospital Changning Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,6,8]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"505","volume-title":"TeLinde's Operative Gynecology","author":"Rock JA","year":"1997"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0896-9"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.07.054"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0004-8666.2003.00054.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000109218.24211.79"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.07.1288"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.189.1.8372223"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-004-2306-4"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2004.00211.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2006.00537.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(00)70499-6"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.02.030"},{"key":"e_1_2_5_14_1","unstructured":"Consensus statement of the Royal Australian & New Zealand College of Obstetricians and Gynaecologists (RANZCOG) & the Australasian Gynaecological Endoscopy and Surgical Society (AGES). 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