Evidence map›Paper›PMID 42736553›Full record

ArticleFacts, views & vision in ObGyn2026

Safety and efficacy of laparoscopic cornuotomy in the surgical management of complete interstitial ectopic pregnancy.

Dorothy Davies, Bethany Helm, Zoe Moatti, Natasha Eagles, Joel Naftalin, Davor Jurkovic

Abstract read
In one paragraph

Article in Facts, views & vision in ObGyn, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dorothy DaviesDepartment of Obstetrics and Gynaecology, EGA Institute for Women's Health, University College London Hospital NHS Foundation Trust, London, United Kingdom.ORCID 0000-0003-0113-2032
Bethany HelmDepartment of Obstetrics and Gynaecology, EGA Institute for Women's Health, University College London Hospital NHS Foundation Trust, London, United Kingdom.ORCID 0009-0005-7760-8430
Zoe MoattiDepartment of Obstetrics and Gynaecology, EGA Institute for Women's Health, University College London Hospital NHS Foundation Trust, London, United Kingdom.
Natasha EaglesDepartment of Obstetrics and Gynaecology, EGA Institute for Women's Health, University College London Hospital NHS Foundation Trust, London, United Kingdom.
Joel NaftalinDepartment of Obstetrics and Gynaecology, EGA Institute for Women's Health, University College London Hospital NHS Foundation Trust, London, United Kingdom.ORCID 0000-0002-9358-1291
Davor JurkovicDepartment of Obstetrics and Gynaecology, EGA Institute for Women's Health, University College London Hospital NHS Foundation Trust, London, United Kingdom.ORCID 0000-0001-6487-5736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Laparoscopic cornuotomy is a relatively novel surgical approach to manage interstitial ectopic pregnancy (IEP) and there is little information regarding its safety and efficacy. Objectives: To describe the success, complications and long-term outcomes of women undergoing laparoscopic cornuotomy for IEP. Methods: Retrospective observational study carried out in a tertiary early pregnancy unit from June 2009 to April 2024. Main Outcome Measures: The main outcome measure was a complete resolution of the IEP without the need for any additional medical or surgical treatment. Results: There were 102 cases of complete IEP, of which 71 were managed surgically. The majority of operations were performed laparoscopically (70/71), including 62/70 who underwent a laparoscopic cornuotomy, and 8/70 who underwent an Endoloop-assisted salpingectomy. The remaining patient underwent a planned open procedure. A total of 60/62 [97%, 95% confidence interval (CI), 92-100] laparoscopic cornuotomies were successful, whilst the remaining two patients required further intervention for persistent trophoblast. The median total estimated blood loss for patients undergoing laparoscopic cornuotomy was 50 mLs (interquartile range: 50-150). There were 2/62 (3%, 95% CI, 0-8) intraoperative and 3/62 (5%, 95% CI, 0-10) postoperative complications. Twenty-seven patients (27/62, 44%) subsequently conceived, resulting in a total of 52 pregnancies. There were 25 pregnancies resulting in live birth, 13 of which were vaginal with no cases of uterine rupture. Conclusions: Laparoscopic cornuotomy is an effective treatment for complete IEP with only a small proportion of patients requiring interventions for retained pregnancy tissue. What is New?: This is the largest study of laparoscopic cornuotomy so far which showed that the procedure is effective with a low-risk of future pregnancy complications.

Indexed as

ectopic pregnancyinterstitialintraoperative complicationslaparoscopyPregnancy

Identifiers

PMID42736553
PMCPMC13575371

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.