{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:13:01Z","timestamp":1768342381580,"version":"3.49.0"},"reference-count":11,"publisher":"Galenos Yayinevi","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Background: Fortunately, interstitial pregnancies are a rare early pregnancy presentation, yet they can be challenging to managed and are associated with a high risk of intra-abdominal haemorrhage. Once detected, surgical laparoscopic resection can be the preferred management method for both patient safety and for definitive treatment.\n\nObjective: The video presents a new technique for laparoscopic resection of an interstitial pregnancy which enables the procedure to be effectively bloodless.\n\nMaterials and Methods: We report on a new technique for laparoscopic cornual resection. As shown in the video, staying in the marginal zone may result in the enblock resection of the gestational sac. Using meticulous applications of bipolar energy and cutting with scissors in the marginal zone, the operation may be completed with almost no blood loss and minimal damage to the adjacent healthy myometrium.\n\nResults: The operation lasted 30 min with almost no blood loss. The patient had an uneventful recovery and was discharged on the first postoperative day.\n\nConclusions: Staying in the marginal zone during dissection permits even less experienced laparoscopists to complete laparoscopic cornual resection with minimal blood loss concomitantly with minimal trauma to the adjacent myometrium.<\/jats:p>","DOI":"10.52054\/fvvo.16.3.032","type":"journal-article","created":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T22:07:49Z","timestamp":1727906869000},"page":"355-358","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic cornual resection for interstitial pregnancy: Staying in the Marginal Zone"],"prefix":"10.52054","volume":"16","author":[{"given":"N","family":"Kathopoulis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Kypriotis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Douligeris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Zacharakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Prodromidou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Chatzipapas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Grigoriadis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Protopapas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2024,9]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Afifi Y, Mahmud A, Fatma A. Hemostatic Techniques for Laparoscopic Management of Cornual Pregnancy: Double-Impact Devascularization Technique. J Minim Invasive Gynecol. 2016;23:274-80.","DOI":"10.1016\/j.jmig.2015.09.002"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Bhagavath B, Lindheim SR. Surgical management of interstitial (cornual) ectopic pregnancy: many ways to peel an orange! Fertil Steril. 2021;115:1193-4.","DOI":"10.1016\/j.fertnstert.2021.03.016"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Hobo R, Netsu S, Koyasu Y et al. Bradycardia and cardiac arrest caused by intramyometrial injection of vasopressin during a laparoscopically assisted myomectomy. Obstet Gynecol. 2009;113:484-6.","DOI":"10.1097\/aog.0b013e318187e795"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Jermy K, Thomas J, Doo A et al. The conservative management of interstitial pregnancy. BJOG. 2004;111:1283-8.","DOI":"10.1111\/j.1471-0528.2004.00442.x"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Kathopoulis N, Prodromidou A, Zacharakis D et al. The Effect of Intravenous Tranexamic Acid on Myomectomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Pers Med. 2022;12:1492.","DOI":"10.3390\/jpm12091492"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Marchand G, Masoud AT, Galitsky A et al. Management of interstitial pregnancy in the era of laparoscopy: a meta- analysis of 855 case studies compared with traditional techniques. Obstet Gynecol Sci. 2021;64:156-73.","DOI":"10.5468\/ogs.20299"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Min CJ, Cameo T, Ross WT et al. Vasopressin Injection Purse-String Ectopic Resection technique for laparoscopic management of cornual ectopic pregnancy. Am J Obstet Gynecol. 2023;229:340-3.","DOI":"10.1016\/j.ajog.2023.04.047"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Moawad NS, Mahajan ST, Moniz MH et al. Current diagnosis and treatment of interstitial pregnancy. Am J Obstet Gynecol. 2010;202:15-29.","DOI":"10.1016\/j.ajog.2009.07.054"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Protopapas A, Giannoulis G, Chatzipapas I et al. Vasopressin during Laparoscopic Myomectomy: Does It Really Extend Its Limits? J Minim Invasive Gynecol. 2019;26:441-9.","DOI":"10.1016\/j.jmig.2018.05.011"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Protopapas A, Kathopoulis N, Chatzipapas I et al. Misoprostol vs vasopressin as a single hemostatic agent in laparoscopic myomectomy: Comparable, or just better than nothing? J Obstet Gynaecol Res. 2020;46:2356-65.","DOI":"10.1111\/jog.14465"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Zheng Y, Chen Y, Yi X. Laparoscopic blockage of uterine artery in the management of large cornual pregnancy. Fertil Steril. 2021;115:1350-2.","DOI":"10.1016\/j.fertnstert.2020.11.030"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:56:17Z","timestamp":1739512577000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.16.3.032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9]]},"published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.16.3.032","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}