Efficacy of bleeding control using a large amount of highly diluted vasopressin in laparoscopic treatment for interstitial pregnancy
Objective We sought to report the safety and effectiveness of bleeding control using a large amount of highly diluted vasopressin in laparoscopic management of interstitial pregnancy. Study Design This was an uncontrolled retrospective review of 20 patients who were laparoscopically treated for inte...
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Veröffentlicht in: | American journal of obstetrics and gynecology 2010-07, Vol.203 (1), p.30.e1-30.e6 |
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container_title | American journal of obstetrics and gynecology |
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creator | Moon, Hwa Sook, MD, PhD Kim, Sang Gab, MD, PhD Park, Gun Sik, MD Choi, Jin Kuk, MD Koo, Ja Seong, MD Joo, Bo Sun, PhD |
description | Objective We sought to report the safety and effectiveness of bleeding control using a large amount of highly diluted vasopressin in laparoscopic management of interstitial pregnancy. Study Design This was an uncontrolled retrospective review of 20 patients who were laparoscopically treated for interstitial pregnancy using a large amount of highly diluted vasopressin. For hemostasis, 1 ampule of vasopressin was diluted in 1000 mL of normal saline (1000-fold) and 150-250 mL of diluted vasopressin was injected in the uterus below interstitial pregnancy. Results Mean patient age and gestational age was 33.5 years and 6.7 weeks, respectively. Mean blood loss was 24 mL. The mean serum human chorionic gonadotropin level was 10,950, 4065, and 959 mIU/mL on the day of operation and postoperative days 1 and 4, respectively. Conclusion Laparoscopic management of interstitial pregnancy using a large amount of highly diluted vasopressin is safe and effective in hemostasis with minimal blood loss and no complications. |
doi_str_mv | 10.1016/j.ajog.2010.02.030 |
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Study Design This was an uncontrolled retrospective review of 20 patients who were laparoscopically treated for interstitial pregnancy using a large amount of highly diluted vasopressin. For hemostasis, 1 ampule of vasopressin was diluted in 1000 mL of normal saline (1000-fold) and 150-250 mL of diluted vasopressin was injected in the uterus below interstitial pregnancy. Results Mean patient age and gestational age was 33.5 years and 6.7 weeks, respectively. Mean blood loss was 24 mL. The mean serum human chorionic gonadotropin level was 10,950, 4065, and 959 mIU/mL on the day of operation and postoperative days 1 and 4, respectively. Conclusion Laparoscopic management of interstitial pregnancy using a large amount of highly diluted vasopressin is safe and effective in hemostasis with minimal blood loss and no complications.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2010.02.030</identifier><identifier>PMID: 20451893</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; Digestive system. Abdomen ; Diseases of mother, fetus and pregnancy ; endoloop ligation ; Endoscopy ; Female ; Gynecology. Andrology. Obstetrics ; hemostasis ; Hemostasis, Surgical - methods ; highly diluted vasopressin ; Humans ; interstitial pregnancy ; Investigative techniques, diagnostic techniques (general aspects) ; laparoscopic operation ; Laparoscopy - methods ; Medical sciences ; Obstetrics and Gynecology ; Pregnancy ; Pregnancy, Ectopic - surgery ; Pregnancy. Fetus. Placenta ; Retrospective Studies ; Vasoconstrictor Agents - administration & dosage ; Vasopressins - administration & dosage</subject><ispartof>American journal of obstetrics and gynecology, 2010-07, Vol.203 (1), p.30.e1-30.e6</ispartof><rights>Mosby, Inc.</rights><rights>2010 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright (c) 2010 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-e4b525b3aab7bd54331269bb49144239a478ce4bc412863b11d09ab9a7e511553</citedby><cites>FETCH-LOGICAL-c440t-e4b525b3aab7bd54331269bb49144239a478ce4bc412863b11d09ab9a7e511553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937810002437$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23026382$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20451893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moon, Hwa Sook, MD, PhD</creatorcontrib><creatorcontrib>Kim, Sang Gab, MD, PhD</creatorcontrib><creatorcontrib>Park, Gun Sik, MD</creatorcontrib><creatorcontrib>Choi, Jin Kuk, MD</creatorcontrib><creatorcontrib>Koo, Ja Seong, MD</creatorcontrib><creatorcontrib>Joo, Bo Sun, PhD</creatorcontrib><title>Efficacy of bleeding control using a large amount of highly diluted vasopressin in laparoscopic treatment for interstitial pregnancy</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective We sought to report the safety and effectiveness of bleeding control using a large amount of highly diluted vasopressin in laparoscopic management of interstitial pregnancy. Study Design This was an uncontrolled retrospective review of 20 patients who were laparoscopically treated for interstitial pregnancy using a large amount of highly diluted vasopressin. For hemostasis, 1 ampule of vasopressin was diluted in 1000 mL of normal saline (1000-fold) and 150-250 mL of diluted vasopressin was injected in the uterus below interstitial pregnancy. Results Mean patient age and gestational age was 33.5 years and 6.7 weeks, respectively. Mean blood loss was 24 mL. The mean serum human chorionic gonadotropin level was 10,950, 4065, and 959 mIU/mL on the day of operation and postoperative days 1 and 4, respectively. Conclusion Laparoscopic management of interstitial pregnancy using a large amount of highly diluted vasopressin is safe and effective in hemostasis with minimal blood loss and no complications.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Digestive system. Abdomen</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>endoloop ligation</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>hemostasis</subject><subject>Hemostasis, Surgical - methods</subject><subject>highly diluted vasopressin</subject><subject>Humans</subject><subject>interstitial pregnancy</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>laparoscopic operation</subject><subject>Laparoscopy - methods</subject><subject>Medical sciences</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Pregnancy, Ectopic - surgery</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Retrospective Studies</subject><subject>Vasoconstrictor Agents - administration & dosage</subject><subject>Vasopressins - administration & dosage</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk2LFDEQhoMo7uzqH_AguYinGfPVHwERZFlXYcGDeg7V6erZtOnOmKQX5u4PN82MCh6EQFLJ8xapt4qQF5ztOOP1m3EHY9jvBCsXTOyYZI_IhjPdbOu2bh-TDWNMbLVs2gtymdK4hkKLp-RCMFXxVssN-XkzDM6CPdIw0M4j9m7eUxvmHIOnS1ojoB7iHilMYZnzCt67_b0_0t75JWNPHyCFQ8RUaFqWhwPEkGw4OEtzRMgTFt0QYnnNGFN22YGnRbKfYbbHZ-TJAD7h8_N-Rb59uPl6_XF79_n20_X7u61ViuUtqq4SVScBuqbrKyUlF7XuOqW5UkJqUE1rC2QVF20tO857pqHT0GDFeVXJK_L6lPcQw48FUzaTSxa9hxnDkkwjZV0JzXUhxYm0pZAUcTCH6CaIR8OZWc03o1nNN6v5hglTzC-il-f0Szdh_0fy2-0CvDoDkCz4IZbiXfrLSSZq2YrCvT1xWMx4cBhNsg5nW5oT0WbTB_f_f7z7R269m0uX_Xc8YhrDEudis-EmFYH5ss7FOiV8PSjZyF-bm7lt</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Moon, Hwa Sook, MD, PhD</creator><creator>Kim, Sang Gab, MD, PhD</creator><creator>Park, Gun Sik, MD</creator><creator>Choi, Jin Kuk, MD</creator><creator>Koo, Ja Seong, MD</creator><creator>Joo, Bo Sun, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100701</creationdate><title>Efficacy of bleeding control using a large amount of highly diluted vasopressin in laparoscopic treatment for interstitial pregnancy</title><author>Moon, Hwa Sook, MD, PhD ; Kim, Sang Gab, MD, PhD ; Park, Gun Sik, MD ; Choi, Jin Kuk, MD ; Koo, Ja Seong, MD ; Joo, Bo Sun, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-e4b525b3aab7bd54331269bb49144239a478ce4bc412863b11d09ab9a7e511553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Digestive system. Abdomen</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>endoloop ligation</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>hemostasis</topic><topic>Hemostasis, Surgical - methods</topic><topic>highly diluted vasopressin</topic><topic>Humans</topic><topic>interstitial pregnancy</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>laparoscopic operation</topic><topic>Laparoscopy - methods</topic><topic>Medical sciences</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Pregnancy, Ectopic - surgery</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Retrospective Studies</topic><topic>Vasoconstrictor Agents - administration & dosage</topic><topic>Vasopressins - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moon, Hwa Sook, MD, PhD</creatorcontrib><creatorcontrib>Kim, Sang Gab, MD, PhD</creatorcontrib><creatorcontrib>Park, Gun Sik, MD</creatorcontrib><creatorcontrib>Choi, Jin Kuk, MD</creatorcontrib><creatorcontrib>Koo, Ja Seong, MD</creatorcontrib><creatorcontrib>Joo, Bo Sun, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moon, Hwa Sook, MD, PhD</au><au>Kim, Sang Gab, MD, PhD</au><au>Park, Gun Sik, MD</au><au>Choi, Jin Kuk, MD</au><au>Koo, Ja Seong, MD</au><au>Joo, Bo Sun, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of bleeding control using a large amount of highly diluted vasopressin in laparoscopic treatment for interstitial pregnancy</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>203</volume><issue>1</issue><spage>30.e1</spage><epage>30.e6</epage><pages>30.e1-30.e6</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective We sought to report the safety and effectiveness of bleeding control using a large amount of highly diluted vasopressin in laparoscopic management of interstitial pregnancy. Study Design This was an uncontrolled retrospective review of 20 patients who were laparoscopically treated for interstitial pregnancy using a large amount of highly diluted vasopressin. For hemostasis, 1 ampule of vasopressin was diluted in 1000 mL of normal saline (1000-fold) and 150-250 mL of diluted vasopressin was injected in the uterus below interstitial pregnancy. Results Mean patient age and gestational age was 33.5 years and 6.7 weeks, respectively. Mean blood loss was 24 mL. The mean serum human chorionic gonadotropin level was 10,950, 4065, and 959 mIU/mL on the day of operation and postoperative days 1 and 4, respectively. Conclusion Laparoscopic management of interstitial pregnancy using a large amount of highly diluted vasopressin is safe and effective in hemostasis with minimal blood loss and no complications.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>20451893</pmid><doi>10.1016/j.ajog.2010.02.030</doi><tpages>2</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Digestive system. Abdomen Diseases of mother, fetus and pregnancy endoloop ligation Endoscopy Female Gynecology. Andrology. Obstetrics hemostasis Hemostasis, Surgical - methods highly diluted vasopressin Humans interstitial pregnancy Investigative techniques, diagnostic techniques (general aspects) laparoscopic operation Laparoscopy - methods Medical sciences Obstetrics and Gynecology Pregnancy Pregnancy, Ectopic - surgery Pregnancy. Fetus. Placenta Retrospective Studies Vasoconstrictor Agents - administration & dosage Vasopressins - administration & dosage |
title | Efficacy of bleeding control using a large amount of highly diluted vasopressin in laparoscopic treatment for interstitial pregnancy |
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