VP59.36: Place of vasopressin in demarcation of interstitial ectopic pregnancy during laparoscopic resection: scientific review of a case series

Abstract

The diagnosis and management of interstitial ectopic pregnancy is challenging. Resistance of decidual vessels to vasopressin when compared to rest of the uterine vasculature taken into consideration in laparoscopic excision of interstitial ectopic pregnancies to demarcate the margins and to minimise blood loss. A case series of nine patients diagnosed with interstitial ectopic, undergoing laparoscopic surgery, were injected with diluted vasopressin to the myometrium prior to make the surgical resection. The myometrial tissue turned pale in contrast to pink and vascular interstitial ectopic revealing a clear margin between the two tissues. Significantly reduced blood loss noted as oppose to procedure done without vasopressin. In conclusion, injection of vasopressin to the myometrium prior to resection of an interstitial ectopic provides well-demarcated zones to aid in complete resection while minimising the blood loss. Supporting information can be found in the online version of this abstract Supporting Information Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.