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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 906825, 3 pages
Case Report

Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy

1Department of Obstetrics and Gynecology, The University of Texas at Houston-Memorial Hermann, 6431 Fannin, Suite 3.214, Houston, TX 77030, USA
2Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, TTUHSC Mail Stop 8340, 3601 4th Street, Lubbock, TX 79430, USA

Received 2 April 2013; Accepted 30 April 2013

Academic Editors: G. Capobianco, S.-Y. Ku, and M. G. Porpora

Copyright © 2013 Mara Clapp and Jaou-Chen Huang. 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.


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.