Study results from Tel-Aviv University provide new insights into laparoscopy.

In this recent study, researchers in Tel Aviv, Israel conducted a study "To determine the outcome of laparoscopic management of cornual pregnancy. Retrospective cohort study (Canadian Task Force classification II-3)."

"A tertiary referral hospital in Israel. Patient(S): Twenty-seven consecutive women with cornual pregnancy who were diagnosed and treated at our institute. Laparoscopy was undertaken in 20 (74%) of the patients. Resection of the cornua and/or a Vicryl loop placement was performed. In 6 cases, laparoscopy was converted to laparotomy. In addition, laparotomy was performed in 2 other cases. Five cases were managed conservatively: 3 with systemic methotrexate (MTX) and leucovorin, I with transvaginal sonography-guided KCl injection to the amniotic sac, and 1 with hysteroscopic-guided MTX injection to the amniotic sac. Further treatment after surgery was required in 4 cases: transvaginal sonography-guided KCl injection, MTX or KCl + MTX (1 case each) injection to the amniotic sac, and systemic MTX injection. Main Outcome Measure(S): Successful laparoscopy, determined as not needing follow-up treatment. Result(S): The mean gestational age was 56 days. The average and median serum hCG levels were 31,199 and 6,653 IU/mL, respectively. Six of the women (22%) were admitted in hypovolemic shock. Nine patients (33.3%) were asymptomatic upon admission, 14 (52%) had abdominal pain, and 8 (29.6%) were evaluated for vaginal bleeding. One woman developed hypovolemic shock after admission. Only 15 (55.6%) of the 27 pregnancies were diagnosed as a cornual pregnancy by transvaginal sonography before the therapeutic procedure. Blood transfusion was given in seven cases (26%) during surgery. The mean number of days of hospitalization was 5.7 days for patients who underwent surgery ...