Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy
Abdominal ectopic pregnancy is rare among all ectopic pregnancies and only few cases were treated with laparoscopic surgery. The most challenging management is adequate hemostasis after the removal of gestational material. We present a case of abdominal ectopic pregnancy with massive hemoperitoneum...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Medical Sciences |
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| Online Access: | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2016;volume=36;issue=5;spage=202;epage=204;aulast=Wang |
| _version_ | 1818445691894104064 |
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| author | Chen-Yu Wang Her-Young Su Dah-Ching Ding Kwei-Shuai Hwang |
| author_facet | Chen-Yu Wang Her-Young Su Dah-Ching Ding Kwei-Shuai Hwang |
| author_sort | Chen-Yu Wang |
| collection | DOAJ |
| description | Abdominal ectopic pregnancy is rare among all ectopic pregnancies and only few cases were treated with laparoscopic surgery. The most challenging management is adequate hemostasis after the removal of gestational material. We present a case of abdominal ectopic pregnancy with massive hemoperitoneum who was treated with laparoscopy and manual hemostasis during the surgery. After the removal of gestational material, persistent bleeding from the rough surface of rectal serosa was observed. Thermal coagulation was dilemmatic due to proximity to the rectum. Then, we used manual compression with one index finger in the rectum combined with gauze compression by laparoscopic instrument. The hemostasis was achieved successfully. |
| first_indexed | 2024-12-14T19:35:52Z |
| format | Article |
| id | doaj.art-3535e246632a4370a399d60ac5020a72 |
| institution | Directory Open Access Journal |
| issn | 1011-4564 |
| language | English |
| last_indexed | 2024-12-14T19:35:52Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj.art-3535e246632a4370a399d60ac5020a722022-12-21T22:49:53ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642016-01-0136520220410.4103/1011-4564.192842Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancyChen-Yu WangHer-Young SuDah-Ching DingKwei-Shuai HwangAbdominal ectopic pregnancy is rare among all ectopic pregnancies and only few cases were treated with laparoscopic surgery. The most challenging management is adequate hemostasis after the removal of gestational material. We present a case of abdominal ectopic pregnancy with massive hemoperitoneum who was treated with laparoscopy and manual hemostasis during the surgery. After the removal of gestational material, persistent bleeding from the rough surface of rectal serosa was observed. Thermal coagulation was dilemmatic due to proximity to the rectum. Then, we used manual compression with one index finger in the rectum combined with gauze compression by laparoscopic instrument. The hemostasis was achieved successfully.http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2016;volume=36;issue=5;spage=202;epage=204;aulast=WangEctopicabdominal pregnancyhemoperitoneumsurgerylaparoscopyhemostasis |
| spellingShingle | Chen-Yu Wang Her-Young Su Dah-Ching Ding Kwei-Shuai Hwang Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy Journal of Medical Sciences Ectopic abdominal pregnancy hemoperitoneum surgery laparoscopy hemostasis |
| title | Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy |
| title_full | Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy |
| title_fullStr | Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy |
| title_full_unstemmed | Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy |
| title_short | Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy |
| title_sort | manual compression management for internal bleeding of cul de sac ectopic pregnancy |
| topic | Ectopic abdominal pregnancy hemoperitoneum surgery laparoscopy hemostasis |
| url | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2016;volume=36;issue=5;spage=202;epage=204;aulast=Wang |
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