Conservative surgical management of interstitial pregnancy.
Conservative management of ampullary and isthmic tubal pregnancies has been increasingly advocated to preserve the affected tubes and results in excellent outcome. A similar approach to interstitial pregnancies is more difficult because of the vascularity of the cornual area. We report here a novel surgical approach to this problem in two patients. Both patients had an unremarkable postoperative course. Hysterosalpingograms performed 5 and 6 months postoperatively demonstrated bilateral tubal patency. It is suggested that conservative surgical management may replace either cornual resection or hysterectomy in selected patients with unruptured interstitial pregnancies.
Confino
E
E
Department of Obstetrics and Gynecology, Mount Sinai Hospital Medical Center, Chicago, Illinois 60608.
Gleicher
N
N
D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D008488:Medical Illustration; D011184:Postoperative Period; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*