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Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy
Background. Surgery is sometimes required for the management of tubal ectopic pregnancies. Historically, surgeons used electrosurgery to obtain hemostasis. Topical hemostatic sealants, such as FloSeal, may decrease the reliance on electrosurgery and reduce thermal injury to the tissue. Case. A 33-ye...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681223/ https://www.ncbi.nlm.nih.gov/pubmed/23819082 http://dx.doi.org/10.1155/2013/906825 |
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author | Clapp, Mara Huang, Jaou-Chen |
author_facet | Clapp, Mara Huang, Jaou-Chen |
author_sort | Clapp, Mara |
collection | PubMed |
description | Background. Surgery is sometimes required for the management of tubal ectopic pregnancies. Historically, surgeons used electrosurgery to obtain hemostasis. Topical hemostatic sealants, such as FloSeal, may decrease the reliance on electrosurgery and reduce thermal injury to the tissue. Case. A 33-year-old G1 P0 received methotrexate for a right tubal pregnancy. The patient became symptomatic six days later and underwent a laparoscopic right salpingotomy. After multiple unsuccessful attempts to obtain hemostasis with electrocoagulation, FloSeal was used and hemostasis was obtained. Six weeks later, a hysterosalpingogram (HSG) confirmed tubal patency. The patient subsequently had an intrauterine pregnancy. Conclusion. FloSeal helped to achieve hemostasis during a laparoscopic salpingotomy and preserve tubal patency. FloSeal is an effective alternative and adjunct to electrosurgery in the surgical management of tubal pregnancy. |
format | Online Article Text |
id | pubmed-3681223 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-36812232013-07-01 Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy Clapp, Mara Huang, Jaou-Chen Case Rep Obstet Gynecol Case Report Background. Surgery is sometimes required for the management of tubal ectopic pregnancies. Historically, surgeons used electrosurgery to obtain hemostasis. Topical hemostatic sealants, such as FloSeal, may decrease the reliance on electrosurgery and reduce thermal injury to the tissue. Case. A 33-year-old G1 P0 received methotrexate for a right tubal pregnancy. The patient became symptomatic six days later and underwent a laparoscopic right salpingotomy. After multiple unsuccessful attempts to obtain hemostasis with electrocoagulation, FloSeal was used and hemostasis was obtained. Six weeks later, a hysterosalpingogram (HSG) confirmed tubal patency. The patient subsequently had an intrauterine pregnancy. Conclusion. FloSeal helped to achieve hemostasis during a laparoscopic salpingotomy and preserve tubal patency. FloSeal is an effective alternative and adjunct to electrosurgery in the surgical management of tubal pregnancy. Hindawi Publishing Corporation 2013 2013-05-29 /pmc/articles/PMC3681223/ /pubmed/23819082 http://dx.doi.org/10.1155/2013/906825 Text en Copyright © 2013 M. Clapp and J.-C. Huang. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Clapp, Mara Huang, Jaou-Chen Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy |
title | Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy |
title_full | Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy |
title_fullStr | Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy |
title_full_unstemmed | Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy |
title_short | Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy |
title_sort | use of floseal sealant in the surgical management of tubal ectopic pregnancy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681223/ https://www.ncbi.nlm.nih.gov/pubmed/23819082 http://dx.doi.org/10.1155/2013/906825 |
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