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Successful treatment of ruptured interstitial pregnancy with laparoscopic surgery. A report of 2 cases
Louis Yik-Si Chan1, Pong Mo Yuen
1Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Princes of Wales Hospital, Shatin, Hong Kong. lyschan@cuhk.edu.hk
Background:
Laparoscopic surgery is generally considered contraindicated in women with ruptured interstitial pregnancy as it is associated with profound bleeding and hypovolemic shock.
Cases:
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.
Conclusion:
With increasing experience with the laparoscopic technique, ruptured interstitial pregnancy can be managed safely and successfully with laparoscopic surgery.