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Updated: Jun 28, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Laparoscopic surgery of ectopic gestational sac implanted in the cesarean section scar
Jung Han Lee1, Seong Hee Kim, Sam Hyun Cho
1Department of Obstetrics and Gynecology, Hanyang University Guri Hospital, College of Medicine, Hanyang University, South Korea.
Aim:
The feasibility and outcome of laparoscopic surgery for patients with ectopic pregnancy in the cesarean section scar was studied.
Methods:
From January 2003 to June 2007, 7 of 9 patients diagnosed with ectopic pregnancy in a previous cesarean section scar underwent laparoscopic removal of the gestational sac at our department. A retrospective review of medical records of these patients was performed.
Results:
In all of them, the ectopic gestational sac was successfully removed by laparoscopy without converting to laparotomy and the scar defect was repaired by intracorporeal sutures. The mean operation time was 98 minutes (range: 30 to 210 min) and mean hemoglobin drop after operation was 2.3 g/dL (range: 1.2 to 3.4 g/dL). The mean postoperative hospital stay was 4.3 days (range: 3 to 7 d). None of the patients required additional methotrexate administration postoperatively.
Conclusions:
Laparoscopic removal of ectopic gestational sac within a cesarean scar seems to be a feasible and safe procedure that might be considered as a treatment option.
