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Fertility and sterility · Oct 2009
Case ReportsA novel surgical treatment for cesarean scar pregnancy: laparoscopically assisted operative hysteroscopy.
- James K Robinson, Molina B Dayal, Paul Gindoff, and David Frankfurter.
- Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
- Fertil. Steril. 2009 Oct 1; 92 (4): 1497.e13-1497.e16.
ObjectiveTo describe laparoscopically assisted hysteroscopy as a unique surgical intervention for a cesarean section scar ectopic pregnancy.DesignCase report.SettingUniversity hospital.Patient(S)A 44-year-old woman, pregnant at 5 weeks and 6 days' gestational age with a cesarean section scar ectopic pregnancy.Intervention(S)The patient underwent serial transvaginal ultrasound examinations with Doppler flow studies, followed by a laparoscopically assisted operative hysteroscopy for evacuating the cesarean scar ectopic pregnancy.Main Outcome Measure(S)Conservation of the uterus, fertility preservation.Result(S)Successful conservative surgical treatment of cesarean section scar ectopic pregnancy.Conclusion(S)Conservative laparoscopically assisted operative hysteroscopy can be used successfully in hemodynamically stable patients with a cesarean section scar ectopic pregnancy.
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