{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T07:50:24Z","timestamp":1765266624689,"version":"3.46.0"},"reference-count":28,"publisher":"BMJ","issue":"6695","license":[{"start":{"date-parts":[[1989,8,5]],"date-time":"1989-08-05T00:00:00Z","timestamp":618278400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1989,8,5]]},"abstract":"<jats:p>A consecutive series of 49 women (50 procedures), whose conditions were haemodynamically stable, presenting with acute lower abdominal pain, pelvic tenderness, and either a urine concentration of greater than 50 U\/l beta human chorionic gonadotrophin or a pelvic mass shown by ultrasonography were treated with operative laparoscopy under video monitoring (videopelviscopy) as an alternative to laparotomy. Ectopic pregnancy, ovarian and non-ovarian cysts, pelvic adhesions, endometriosis, and fibroids were found, for which salpingotomy, salpingectomy and salpingo-oophorectomy, cystectomy, adhesiolysis, thermocoagulation, and myomectomy were carried out by laparoscopy. In one patient pelviscopy was repeated because of persistent tubal pregnancy after the fimbria was expressed. Laparotomies were carried out on three patients because treatment was not possible by laparoscopy and on a further patient two days after adhesiolysis had been attempted. These were the only serious complications. For the 46 cases (45 patients) in which operative laparoscopy was successful the mean stay in hospital was 1.9 days after operation, and this group of patients returned to normal activities and to work after an average of 2.3 and 2.6 weeks respectively. Most gynaecological emergencies that are managed by laparotomy can be treated by laparoscopy and benefit both patients and the health service.<\/jats:p>","DOI":"10.1136\/bmj.299.6695.371","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"371-374","source":"Crossref","is-referenced-by-count":34,"title":["Managing gynaecological emergencies with laparoscopy."],"prefix":"10.1136","volume":"299","author":[{"given":"A. L.","family":"Magos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Baumann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. C.","family":"Turnbull","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1989,8,5]]},"reference":[{"key":"ref_1","first-page":"1","article-title":"Conservativc laparoscopic treatment of 321 ectopic pregnancies","volume":"46","author":"Jl, Pouly; H, Manhes; H, Miage; Al, Canis; MA, Brultat","year":"1986","unstructured":"Pouly Jl, Manhes H, Miage H, Canis Al, Brultat MA. Conservativc laparoscopic treatment of 321 ectopic pregnancies. FertilStenrl 1986;46: 1(93-7.","journal-title":"FertilStenrl"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/S0015-0282(16)44659-5","article-title":"Treatment of ectopic prcgnancv by imieans ot laparoscopy","volume":"33","author":"Bruhat, M.A.; Manhes, H.; Mage, G.; Pouly, J.L.","year":"1980","unstructured":"Bruhat MA, Manhes H, Mage G, Pouly JL. Treatment of ectopic prcgnancv by imieans ot laparoscopy. Ferttl Steril 1980;33:411-4.","journal-title":"Ferttl Steril"},{"key":"ref_3","first-page":"\"77","article-title":"Untistial ises of laparoscop","volume":"15","author":"Sodcrstrom, R.M.","year":"1975","unstructured":"Sodcrstrom RM. Untistial ises of laparoscop.J Reprod.\/led 1975;15:77-8. MMintz Al, De Brtix J. La ponctiott per-coelioscopique ct la cvtologic dc 347 ksste intra-pelviens. Gynecologie 1974;25.63-5.","journal-title":"J Reprod.\/led; La ponctiott per-coelioscopique ct la cvtologic dc 347 ksste intra-pelviens"},{"key":"ref_4","first-page":"16","article-title":"Ovarian cyst feitestration sia laparoscopy","volume":"21","author":"Kleppinger, R.K.","year":"1978","unstructured":"Kleppinger RK. Ovarian cyst feitestration sia laparoscopy. 7 Reprod Mfed 1978;21: 16-9."},{"key":"ref_5","first-page":"121","article-title":"Mettlcr 1. Technical progress in pelvic surgery svia operatite laparoscopy","volume":"138","author":"Semm, K.","year":"1980","unstructured":"Semm K, Mettlcr 1. Technical progress in pelvic surgery svia operatite laparoscopy. Am 7 Obstet Gs'vn'col 1980;138: 121-7.","journal-title":"Am 7 Obstet Gs'vn'col"},{"key":"ref_6","article-title":"()pert-aii7m antzulal f(r cndoscopie sursger..('hicago: Year look M tcdical","author":"Semm, K.","year":"1987","unstructured":"Semm K. ()pert-aii7m antzulal f(r cndoscopie sursger..('hicago: Year look M tcdical, 1987."},{"key":"ref_7","first-page":"1","article-title":"Operatise laparoscopv","volume":"47","author":"Murphy, A.A.","year":"1987","unstructured":"Murphy AA. Operatise laparoscopv. FertilSteril 1987;47:1-18.","journal-title":"FertilSteril"},{"key":"ref_8","first-page":"948","article-title":"ILaparoscopic salpingostomy for ectopic pregnancy","volume":"70","author":"DeChernev, A.H.; Diamond, M.P.","year":"1987","unstructured":"DeChernev AH, Diamond MP. ILaparoscopic salpingostomy for ectopic pregnancy. Obstet Genecol 1987;70:948-50.","journal-title":"Obstet Genecol"},{"key":"ref_9","first-page":"655","volume":"30","author":"lied, Reprod","year":"1985","unstructured":"Reprod lied 1985; 30:655-9."},{"key":"ref_10","article-title":"Gvnwia-cological laparoeuopv. The report oftthe zvorking, parte of ithe conftdenttal enqtire, into kynaecological laparoscope","author":"Chamberlain, G.; Brovn, J.C.","year":"1978","unstructured":"Chamberlain G, Brovn JC. Gvnwia-cological laparoeuopv. The report oftthe zvorking, parte of ithe conftdenttal enqtire, into kynaecological laparoscope. I otdon: Royal College of Obstctricians and Gynaccologists, 1978.","journal-title":"I otdon: Royal College of Obstctricians and Gynaccologists"},{"key":"ref_11","first-page":"275","article-title":"Alanagement of ruptuired anid inrtiptured ect(tpic pregnancies by videopclviscopy","volume":"ii:","author":"Magos, A.L.; Baumann, R.; TIurnbtill, A.C.","year":"1988","unstructured":"Magos AL, Baumann R, TIurnbtill AC. Alanagement of ruptuired anid inrtiptured ect(tpic pregnancies by videopclviscopy. Ianiett 1988;ii:275-6.","journal-title":"Ianiett"},{"key":"ref_12","first-page":"694","article-title":"Laparoscopic managcmtcult of ectopi. pregiianicies","volume":"ii:","author":"Mlagos, A.L.; Batimanil, R.; Tuirnbtill, A.C.","year":"1988","unstructured":"Mlagos AL, Batimanil R, Tuirnbtill AC. Laparoscopic managcmtcult of ectopi. pregiianicies. ILanct 1988;ii:694.","journal-title":"ILanct"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1055\/s-0028-1098278","article-title":"Tissuc-ptincher and loop ligatioii: ncw aids for surgical-therapeutic pelviscopy laparoscopy)","volume":"10","author":"Semini, K.","year":"1978","unstructured":"Semini K. Tissuc-ptincher and loop ligatioii: ncw aids for surgical-therapeutic pelviscopy laparoscopy). Endoscopv 1978;10: 119-24.","journal-title":"Endoscopv"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/S0015-0282(16)49653-6","article-title":"AManagement of unrtiptured ectopic pregitancy with laparoscopic carbon dioxide laser","volume":"46","author":"I)A, Johns; RP, Hardic","year":"1986","unstructured":"Johns I)A, Hardic RP. AManagement of unrtiptured ectopic pregitancy with laparoscopic carbon dioxide laser. Fertil Steril 1986;46:703-5.","journal-title":"Fertil Steril"},{"key":"ref_15","first-page":"275","article-title":"Laparoscopic treattineit of ecttpic pregnancs","volume":"69","author":"Reich, H.; Freifeld, M.L.; lcGlenn F; Reich, E.","year":"1987","unstructured":"Reich H, Freifeld ML, lcGlenn F, Reich E. Laparoscopic treattineit of ecttpic pregnancs. Obstet Gvnecol 1987;69:275-9.","journal-title":"Obstet Gvnecol"},{"key":"ref_16","first-page":"225","article-title":"Laparoscopic salpillgcctomr for tuibal pregnancy","volume":"47","author":"Dubtissoiit, J.B.; ALibriot, F.X.; C(ardlonc, V.","year":"1987","unstructured":"Dubtissoiit JB, ALibriot FX, C(ardlonc V. Laparoscopic salpillgcctomr for tuibal pregnancy. Feriil Sienl 1987;47:225-8.","journal-title":"Feriil Sienl"},{"key":"ref_17","first-page":"889","article-title":"A comparison of laparoscopy and laparotomv for the trcatinrlt of ectopic pregtiancy","volume":"71","year":"1988","unstructured":"Brtinisted J, Kessler C, (Gibson C, Naka'ima S, Riddick )H, Gibson M. A comparison of laparoscopy and laparotomv for the trcatinrlt of ectopic pregtiancy. Obsoet (vnesol 1988;71:889-92."},{"key":"ref_18","first-page":"944","article-title":"Silva 'D. A laparoscopic approach can be applicd to tuost cases otl ectopic pregnancy","volume":"72","year":"1988","unstructured":"Silva 'D. A laparoscopic approach can be applicd to tuost cases otl ectopic pregnancy. Ofs)et (Ge-nnicl 1988:72:944-7.","journal-title":"Ofs)et (Ge-nnicl"},{"key":"ref_19","first-page":"539","article-title":"Ovarian cyst tcinestration via the laparotscope. A laparoscopic method for trcatmciit of non-ticoplastic ovariatl cysts","volume":"65","year":"1986","unstructured":"Larsen JF, Pederscn 01D, Gregcrsen E. Ovarian cyst tcinestration via the laparotscope. A laparoscopic method for trcatmciit of non-ticoplastic ovariatl cysts. Acta Ohsio Givntcol S and 1986;65:539-42.","journal-title":"Acta Ohsio Givntcol S and"},{"key":"ref_20","first-page":"109","article-title":"L.aparoscop antid culdoscope in gs'naecologv","author":"Fragenheim, H.","year":"1972","unstructured":"Fragenheim H. L.aparoscop antid culdoscope in gs'naecologv. london: Buttcrworth, 1972:109."},{"key":"ref_21","first-page":"1467","article-title":"Outpatient management of ectotpic pregnancies","volume":"156","author":"Lotffer, F.D.","year":"1987","unstructured":"Lotffer FD. Outpatient management of ectotpic pregnancies. Ai 7 Obstet Gynecol 1987;156: 1467-72."},{"key":"ref_22","first-page":"422","article-title":"Alanageuciit of ecildotictriosis and its associated adhesiotis with thc CO) lascr laparoscope","volume":"68","author":"(G, Dasvis","year":"1986","unstructured":"Dasvis (G). Alanageuciit of ecildotictriosis and its associated adhesiotis with thc CO) lascr laparoscope. Ohstet Qvnecol 1986;68:422-5.","journal-title":"Ohstet Qvnecol"},{"key":"ref_23","first-page":"778","article-title":"Surgical treatment olcfncdometriosis vta lascr laparotscopy","volume":"45","author":"Nelihat, C.; Crowgcv, SR, Garrisoni; C.P.","year":"1986","unstructured":"Nelihat C, Crowgcv SR, Garrisoni CP. Surgical treatment olcfncdometriosis vta lascr laparotscopy. FerttlStrdil 1986;45:778-83.","journal-title":"FerttlStrdil"},{"key":"ref_24","first-page":"195","article-title":"Endoctiaguilation: a niew ficld of endoscotpic surgery","volume":"16","author":"Sciim, K.","year":"1976","unstructured":"Sciim K. Endoctiaguilation: a niew ficld of endoscotpic surgery. J Reprod led 1976;16: 195-213.","journal-title":"J Reprod led"},{"key":"ref_25","first-page":"173","article-title":"Epidcemiology of cctopic pregtuancs-","volume":"30","author":"Dorftman, S.F.","year":"1987","unstructured":"Dorftman SF. Epidcemiology of cctopic pregtuancs-. Citt O)bstet Gvtntco 1987;30: 173-80.","journal-title":"Citt O)bstet Gvtntco"},{"key":"ref_26","first-page":"740","article-title":"crr) PB, Flctuing JC. Ectopic pregnancy in Abcrdecn 1950s-1985. Brj7 Obstet GYnaecol","volume":"95","author":"GAIMA, Flctt; DR, Urquihart; C, Fraser","year":"1988","unstructured":"Flctt GAIMA, Urquihart DR, Fraser C, crr) PB, Flctuing JC. Ectopic pregnancy in Abcrdecn 1950s-1985. Brj7 Obstet GYnaecol 1988;95:740-6."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/S0015-0282(16)49809-2","article-title":"Nonsurgical trcatment of cctopic pregnancy","volume":"46","author":"Orv, S.I.","year":"1986","unstructured":"Orv SI. Nonsurgical trcatment of cctopic pregnancy. Fertil Stentl 1986;46: 767-9.","journal-title":"Fertil Stentl"},{"key":"ref_28","first-page":"1581","article-title":"New surgery. Br fMedj","volume":"295","author":"Wickham, J.E.A.","year":"1987","unstructured":"Wickham JEA. New surgery. Br fMedj 1987;295: 1581-2."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.299.6695.371","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.299.6695.371","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T07:44:42Z","timestamp":1765266282000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.299.6695.371"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,8,5]]},"references-count":28,"journal-issue":{"issue":"6695","published-online":{"date-parts":[[1989,8,5]]},"published-print":{"date-parts":[[1989,8,5]]}},"alternative-id":["10.1136\/bmj.299.6695.371"],"URL":"https:\/\/doi.org\/10.1136\/bmj.299.6695.371","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"type":"print","value":"0959-8138"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1989,8,5]]}}}