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LETTER TO THE EDITOR—BRIEF COMMUNICATION| Volume 159, ISSUE 2, P477-478, December 2011

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Laparoscopic cornuectomy revisited: a case series of 3 patients using the Multifire Endo GIA Stapler

      We would like to report three cases of cornual ectopic pregnancies treated laparoscopically using the Multifire Endo GIA Stapler (Tyco Healthcare UK, Ltd.), which fires fine titanium staples, which simultaneously transects and achieves hemostasis during cornual resection. Cornual pregnancy is one of the most hazardous types of extrauterine gestation and mortality rates of 2.0–2.5% have been quoted, mainly due to its late presentation and risk of hemorrhage. In fact, four of the 11 maternal deaths from extrauterine pregnancy in the 2000–2002 Confidential Enquiry into Maternal and Child Health (CEMACH) Report in the United Kingdom [
      • Confidential Enquiry into Maternal and Child Health
      Why mothers die 2000-h report of the confidential enquiry into maternal deaths in the United Kingdom.
      ] were directly related to ruptured cornual ectopic pregnancy.

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