Interstitial pregnancy and transcervical curettage.
BACKGROUND
Interstitial pregnancies too large to be treated with methotrexate are usually managed surgically, and that may adversely affect future fertility and pregnancies. Transcervical curettage under laparoscopic guidance may be possible in some cases if the pregnancy is accessible vaginally.


METHODS
Three women with interstitial pregnancy were treated by transcervical suction curettage under laparoscopic guidance. In all cases, the procedure was quick, bleeding was minimal, and there were no complications. Removal was complete, and the serum beta-hCG quickly became undetectable.


CONCLUSIONS
Transcervical curettage under laparoscopic guidance provides an alternative conservative treatment for interstitial pregnancy.
Zhang
Xinmei
X
Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. xinmei6@yahoo.com
Liu
Xinchang
X
Fan
Huaguang
H
D000328:Adult; D004107:Dilatation and Curettage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000601:surgery*; D018570:Risk Assessment; D012494:Sampling Studies; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal