Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature
Background. Heterotopic pregnancy occurs when two pregnancies occur simultaneously in the uterus and an ectopic location. Treatment includes removal of the ectopic pregnancy with preservation of the intrauterine pregnancy. Treatment is done laparoscopically with either a Laparoendoscopic Single-Site...
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doaj-1a89124031464a989bc6bef4e32358482020-11-25T01:26:14ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/72326377232637Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of LiteratureShadi Rezai0Richard A. Giovane1Heather Minton2Elise Bardawil3Yiming Zhang4Ninad M. Patil5Cassandra E. Henderson6Xiaoming Guan7Department of Obstetrics and Gynecology, Southern California Kaiser Permanente, Kern County, 1200 Discovery Drive, Bakersfield, CA 93309, USAUniversity of Alabama, Department of Family Medicine, 801 Campus Drive, Tuscaloosa, AL 35487, USAUniversity of Birmingham, School of Medicine, 1720 2nd Avenue, Birmingham, AL 35294, USADivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, 10th Floor, Houston, TX 77030, USADivision of Reproductive Medicine, Jinan Central Hospital Group, 105 Jiefang Road, Jinan City, Shandong Province 250013, ChinaDepartment of Pathology & Immunology, Baylor College of Medicine, 6651 Main Street, 4th Floor, Houston, TX 77030, USAMaternal and Fetal Medicine, Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USADivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, 10th Floor, Houston, TX 77030, USABackground. Heterotopic pregnancy occurs when two pregnancies occur simultaneously in the uterus and an ectopic location. Treatment includes removal of the ectopic pregnancy with preservation of the intrauterine pregnancy. Treatment is done laparoscopically with either a Laparoendoscopic Single-Site Surgery (LESS) or a multiport laparoscopic surgery. Case. We present a case of a first trimester heterotopic pregnancy in a 42-year-old gravida 5, para 0-1-3-1 female with previous history of left salpingectomy, who underwent laparoscopic right salpingectomy and lysis of adhesions (LOA) via Single-Incision Laparoscopic Surgery (SILS). Conclusion. Although LESS for benign OB/GYN cases is feasible, safe, and equally effective compared to the conventional laparoscopic techniques, studies have suggested no clinically relevant advantages in the frequency of perioperative complications between LESS and conventional methods. No data on the cost effectiveness of LESS versus conventional methods are available. LESS utilizes only one surgical incision which may lead to decreased pain and better cosmetic outcome when compared to multiport procedure. One significant undesirable aspect of LESS is the crowding of the surgical area as only one incision is made. Therefore, all instruments go through one port, which can lead to obstruction of the surgeon’s vision and in some cases higher rate of procedure failure resulting in conversion to multiport procedure.http://dx.doi.org/10.1155/2018/7232637 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shadi Rezai Richard A. Giovane Heather Minton Elise Bardawil Yiming Zhang Ninad M. Patil Cassandra E. Henderson Xiaoming Guan |
spellingShingle |
Shadi Rezai Richard A. Giovane Heather Minton Elise Bardawil Yiming Zhang Ninad M. Patil Cassandra E. Henderson Xiaoming Guan Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature Case Reports in Obstetrics and Gynecology |
author_facet |
Shadi Rezai Richard A. Giovane Heather Minton Elise Bardawil Yiming Zhang Ninad M. Patil Cassandra E. Henderson Xiaoming Guan |
author_sort |
Shadi Rezai |
title |
Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature |
title_short |
Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature |
title_full |
Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature |
title_fullStr |
Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature |
title_full_unstemmed |
Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature |
title_sort |
laparoendoscopic single-site surgery for management of heterotopic pregnancy: a case report and review of literature |
publisher |
Hindawi Limited |
series |
Case Reports in Obstetrics and Gynecology |
issn |
2090-6684 2090-6692 |
publishDate |
2018-01-01 |
description |
Background. Heterotopic pregnancy occurs when two pregnancies occur simultaneously in the uterus and an ectopic location. Treatment includes removal of the ectopic pregnancy with preservation of the intrauterine pregnancy. Treatment is done laparoscopically with either a Laparoendoscopic Single-Site Surgery (LESS) or a multiport laparoscopic surgery. Case. We present a case of a first trimester heterotopic pregnancy in a 42-year-old gravida 5, para 0-1-3-1 female with previous history of left salpingectomy, who underwent laparoscopic right salpingectomy and lysis of adhesions (LOA) via Single-Incision Laparoscopic Surgery (SILS). Conclusion. Although LESS for benign OB/GYN cases is feasible, safe, and equally effective compared to the conventional laparoscopic techniques, studies have suggested no clinically relevant advantages in the frequency of perioperative complications between LESS and conventional methods. No data on the cost effectiveness of LESS versus conventional methods are available. LESS utilizes only one surgical incision which may lead to decreased pain and better cosmetic outcome when compared to multiport procedure. One significant undesirable aspect of LESS is the crowding of the surgical area as only one incision is made. Therefore, all instruments go through one port, which can lead to obstruction of the surgeon’s vision and in some cases higher rate of procedure failure resulting in conversion to multiport procedure. |
url |
http://dx.doi.org/10.1155/2018/7232637 |
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