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Andrea Tinelli, M.D., Raffaele Tinelli, M.D., Antonio Malvasi, M.D. 

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Presentation on theme: "Andrea Tinelli, M.D., Raffaele Tinelli, M.D., Antonio Malvasi, M.D. "— Presentation transcript:

1 Laparoscopic management of cervical–isthmic pregnancy: a proposal method 
Andrea Tinelli, M.D., Raffaele Tinelli, M.D., Antonio Malvasi, M.D.  Fertility and Sterility  Volume 92, Issue 2, Pages 829.e3-829.e6 (August 2009) DOI: /j.fertnstert Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Ultrasonographic transvaginal section of the anteverse uterus, with a gestational camera in the isthmic anterior zone, near the CS scar, without sign of a vital embryo inside. Fertility and Sterility  , 829.e3-829.e6DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 The uterine anterior isthmic zone after isthmic pregnancy removal in a laparoscopy: after the bladder flap incision and bladder detachment from the isthmic–cervical area, a bloody cavity is detectable where it was the isthmic pregnancy. Fertility and Sterility  , 829.e3-829.e6DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

4 Figure 3 The laparoscopic suturing of isthmic edges by using of single intracorporeal stitches. Fertility and Sterility  , 829.e3-829.e6DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions


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