Laparoscopic management of interstitial pregnancy: the "purse-string" technique

We report five cases of interstitial pregnancy, treated between 2004 and 2010, toevaluate surgical and obstetric outcome of laparoscopic cornual resection with a“purse-string” technique. A hemostatic suture was passed at the base of the massin a purse-string fashion prior to resection, to minimize intraoperative blood loss.Subsequent pregnancies were analysed, with a mean follow-up time of 48 months.The mean operating time was 39 min and mean blood loss 47 mL. Three of fourpatients who desired children delivered at term uneventfully. Laparoscopic cornualresection with a “purse-string” technique appears to be useful for treatment of earlyinterstitial pregnancy. The technique ensures effective and safe treatment, withsatisfactory obstetric outcome.