title: A novel surgical treatment for cesarean scar pregnancy: laparoscopically assisted operative hysteroscopy.
abstract: OBJECTIVE
  To describe laparoscopically assisted hysteroscopy as a unique surgical intervention for a cesarean section scar ectopic pregnancy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 44-year-old woman, pregnant at 5 weeks and 6 days' gestational age with a cesarean section scar ectopic pregnancy.
  
  
  METHODS
  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.
  
  
  METHODS
  Conservation of the uterus, fertility preservation.
  
  
  RESULTS
  Successful conservative surgical treatment of cesarean section scar ectopic pregnancy.
  
  
  CONCLUSIONS
  Conservative laparoscopically assisted operative hysteroscopy can be used successfully in hemodynamically stable patients with a cesarean section scar ectopic pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
authors.forename: James K
authors.initials: JK
authors.lastname: Robinson
authors.affiliation: Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC. Electronic address: mdayal@mfa.gwu.edu.
authors.forename: Molina B
authors.initials: MB
authors.lastname: Dayal
authors.affiliation: Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
authors.forename: Paul
authors.initials: P
authors.lastname: Gindoff
authors.affiliation: Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
authors.forename: David
authors.initials: D
authors.lastname: Frankfurter
mesh_terms: D000328:Adult; D017604:Cesarean Section, Repeat / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D010535:Laparoscopy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*