• J. Obstet. Gynaecol. Res. · Dec 2013

    Case Reports

    Surgical and obstetric outcomes of laparoscopic management for women with heterotopic pregnancy.

    • Jeong Min Eom, Joong Sub Choi, Jung Hwa Ko, Jung Hun Lee, Seon Hye Park, Jin Hwa Hong, and Chang Young Hur.
    • Department of Obstetrics and Gynecology, National Medical Center, Seoul, Korea.
    • J. Obstet. Gynaecol. Res. 2013 Dec 1; 39 (12): 1580-6.

    AimThe aim of this study was to investigate the obstetric outcomes and clinical efficacy of laparoscopic surgery for women with heterotopic pregnancy.Material And MethodsWe conducted a retrospective study of women who had undergone laparoscopic surgery for heterotopic pregnancy. The primary outcome was the feasibility of laparoscopic surgery for the treatment of heterotopic pregnancy and the secondary outcomes were obstetric outcomes.ResultsSeventeen women underwent laparoscopic surgery for heterotopic pregnancy: 14 with tubal heterotopic pregnancies and three with cornual heterotopic pregnancies. There were no intraoperative or postoperative complications. Of these women, 13 delivered 14 healthy babies, whereas two failed to maintain their pregnancies; one had a missed abortion 2 weeks after the surgery and the other had a miscarriage due to preterm premature rupture of the membrane at 16 gestational weeks. The remaining two women have ongoing pregnancies.ConclusionLaparoscopic surgery performed by experienced surgeons is a feasible and beneficial surgical modality for treating heterotopic pregnancy.© 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology.

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