Two Different Laparoscopic Suturing Techniques in a Case of Recurrent Cornual Ectopic Pregnancy 1 Year Apart.

Abstract

Although cornual ectopic pregnancy is a rare condition in obstetric practice, it poses a great risk for pregnant women due to bleeding and hysterectomy. In this article, we aimed to minimise bleeding with two different suturing techniques after laparoscopic cornuostomy in a patient with recurrent cornual pregnancy (CP) 1 year apart. In the first operation, the cornuostomy was performed laparoscopically and the bleeding site was sutured one by one in a single layer with 2-0 monofilament absorbable suture. The same patient became spontaneously pregnant 1 year later and was hospitalised again with the diagnosis of CP. Laparoscopically, 3-0 barbed absorbable suture was applied around the gestational sac in the form of purse-string and bleeding was minimised by creating a tourniquet. In conclusion, barbed sutures can be easily applied laparoscopically as a purse-string in cornual pregnancies and surgical success can be increased by minimising the amount of bleeding.