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-y...

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Main Authors: Clapp, Mara, Huang, Jaou-Chen
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681223/
id pubmed-3681223
recordtype oai_dc
spelling pubmed-36812232013-07-01 Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy Clapp, Mara Huang, Jaou-Chen 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.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Clapp, Mara
Huang, Jaou-Chen
spellingShingle Clapp, Mara
Huang, Jaou-Chen
Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy
author_facet Clapp, Mara
Huang, Jaou-Chen
author_sort Clapp, Mara
title 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_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_sort use of floseal sealant in the surgical management of tubal ectopic pregnancy
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.
publisher Hindawi Publishing Corporation
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681223/
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