title: Laparoscopic management of interstitial pregnancy and fertility outcomes after ipsilateral salpingectomy - three case reports.
abstract: BACKGROUND
  Interstitial pregnancy after ipsilateral salpingectomy is a rare event with potentially serious consequences. Optimal management strategy remains uncertain and debated. In addition, fertility sparing is determinant of the treatment choice.
  
  
  METHODS
  Here, we report three cases of interstitial pregnancy occurring after homolateral salpingectomy. We expose the therapeutic option held in all three situations, which associated laparoscopic procedure followed by intramuscular methotrexate injection with successful outcome for all patients. We also report the fertility outcome for the first patient, discussing the timing and mode of delivery. Cesarean section at term was performed for this patient.
  
  
  CONCLUSIONS
  In these three situations, we obtained a successful result using a minimally invasive surgical approach combined with systemic methotrexate injection. Cesarean section at term for subsequent intrauterine pregnancy seems to be the safest delivery strategy, although no clear data exist in literature.
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital Cantonal Fribourgeois , Fribourg , Switzerland.
authors.forename: Cristina
authors.initials: C
authors.lastname: Manea
authors.affiliation: Department of Obstetrics and Gynecology, Geneva University Hospitals , Geneva , Switzerland.
authors.forename: Evangelia
authors.initials: E
authors.lastname: Pavlidou
authors.affiliation: Department of Obstetrics and Gynecology, Geneva University Hospitals , Geneva , Switzerland.
authors.forename: Aline Andrey
authors.initials: AA
authors.lastname: Urias
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital Cantonal Fribourgeois , Fribourg , Switzerland.
authors.forename: Jean
authors.initials: J
authors.lastname: Bouquet de la Jolinière
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital Cantonal Fribourgeois , Fribourg , Switzerland.
authors.forename: Jean Bernard
authors.initials: JB
authors.lastname: Dubuisson
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital Cantonal Fribourgeois , Fribourg , Switzerland.
authors.forename: Anis
authors.initials: A
authors.lastname: Feki
keywords: ectopic pregnancy; interstitial pregnancy; ipsilateral salpingectomy; laparoscopic treatment; methotrexate; minimally invasive laparoscopy