A novel surgical treatment for cesarean scar pregnancy: laparoscopically assisted operative hysteroscopy.
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.
Robinson
James K
JK
Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
Dayal
Molina B
MB
Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC. Electronic address: mdayal@mfa.gwu.edu.
Gindoff
Paul
P
Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
Frankfurter
David
D
Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
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*