Successful treatment of ruptured interstitial pregnancy with laparoscopic surgery. A report of 2 cases.
BACKGROUND
Laparoscopic surgery is generally considered contraindicated in women with ruptured interstitial pregnancy as it is associated with profound bleeding and hypovolemic shock.


METHODS
Two cases of ruptured interstitial pregnancy were treated with laparoscopic surgery. Laparoscopic cornuostomy and removal of products of conception were performed in 1 case and laparoscopic cornual resection in the other. Laparoscopic tubal occlusion performed 4 and 6 months later showed the cornu region to be well healed in both cases.


CONCLUSIONS
With increasing experience with the laparoscopic technique, ruptured interstitial pregnancy can be managed safely and successfully with laparoscopic surgery.
Chan
Louis Yik-Si
LY
Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Princes of Wales Hospital, Shatin, Hong Kong. lyschan@cuhk.edu.hk
Yuen
Pong Mo
PM
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D005260:Female; D006439:Hemodynamics; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012422:Rupture, Spontaneous; D013997:Time Factors; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal