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...
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| Format: | Article |
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Wiley
2013-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2013/906825 |
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| author | Mara Clapp Jaou-Chen Huang |
| author_facet | Mara Clapp Jaou-Chen Huang |
| author_sort | Mara Clapp |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-2e4b4eb78cc745b5bf6904e3d4fc2bcc |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-2e4b4eb78cc745b5bf6904e3d4fc2bcc2025-08-20T02:38:49ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/906825906825Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic PregnancyMara Clapp0Jaou-Chen Huang1Department of Obstetrics and Gynecology, The University of Texas at Houston-Memorial Hermann, 6431 Fannin, Suite 3.214, Houston, TX 77030, USADepartment of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, TTUHSC Mail Stop 8340, 3601 4th Street, Lubbock, TX 79430, USABackground. 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.http://dx.doi.org/10.1155/2013/906825 |
| spellingShingle | Mara Clapp Jaou-Chen Huang Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy Case Reports in Obstetrics and Gynecology |
| 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 |
| url | http://dx.doi.org/10.1155/2013/906825 |
| work_keys_str_mv | AT maraclapp useofflosealsealantinthesurgicalmanagementoftubalectopicpregnancy AT jaouchenhuang useofflosealsealantinthesurgicalmanagementoftubalectopicpregnancy |