New Research from Dr. Greg Marchand: Evaluating the Impact of Robotic Assistance in Single-Site Hysterectomy
Dr. Greg J. Marchand MD performed an advanced minimally invasive surgery on a pregnant Phoenix area woman, who later went on to deliver a healthy baby seven months later.
The woman suffered from a very rare condition called a “Heterotopic Pregnancy.”
A heterotopic pregnancy is a rare pregnancy complication when two simultaneous pregnancies are in separate implantation sites, occurring both inside and outside the uterus.
The life saving procedure was called a “Laparoscopic Salpingectomy,” which means to remove a fallopian tube from the abdomen through small holes. Although this technique is commonly performed in the US, it is very rare to perform the technique on a patient with a pregnancy also in the uterus.
Dr. Marchand was able to perform the surgery through two very tiny “keyhole” size incisions. Although minimally invasive surgery to treat extra-uterine pregnancies is not unusual, this case was extremely rare as it was necessary to avoid harming the pregnancy inside the uterus while removing the pregnancy in the fallopian tube. If the emergency surgery was not performed, the pregnancy in the fallopian tube would rupture causing internal bleeding. This could be fatal for mom. Untreated extra-uterine, (or ectopic) pregnancies are the number one cause of maternal death in pregnancy in the United States.
“It’s an extremely delicate technique.” Said Dr. Marchand, describing the surgery. “You have to be very care not to use certain electrical energies or manipulators that could harm the pregnancy inside the uterus. You also have to be very careful with the pregnant uterus. You can’t move it around or push on it too much, or you could cause a miscarriage. You also have to be careful about how you remove the fallopian tube from the uterus. If you use too little electrical energy you could run into heavy bleeding, and if you use too much, or the wrong type, you could overheat or even burn the uterus and it’s precious cargo!”
Heterotopic pregnancies are extremely rare – occurring only a few times every million pregnancies in the US. When they do occur, they threatened both the lives of the mother and the baby in the uterus. In this case, however, mom went on to deliver a beautiful baby 31 weeks after the surgery!
For the full local coverage of this story please see the original story at: https://www.12news.com/article/news/local/valley/baby-mom-survive-rare-pregnancy-complication/75-561479752
For more information regarding Dr. Marchand’s surgical techniques, practice, research please visit www.GregMarchandMD.com
For interviews or media inquiries please contact:
Maria Diomedes Sainz
(480)999-0905 ext. 0
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