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Updated: Jun 20, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
A novel surgical treatment for cesarean scar pregnancy: laparoscopically assisted operative hysteroscopy
James K Robinson1, Molina B Dayal1, Paul Gindoff1
1Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
Objective:
To describe laparoscopically assisted hysteroscopy as a unique surgical intervention for a cesarean section scar ectopic pregnancy.
Design:
Case report.
Setting:
University hospital.
Patient(S):
A 44-year-old woman, pregnant at 5 weeks and 6 days' gestational age with a cesarean section scar ectopic pregnancy.
Intervention(S):
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.
Main Outcome Measure(S):
Conservation of the uterus, fertility preservation.
Result(S):
Successful conservative surgical treatment of cesarean section scar ectopic pregnancy.
Conclusion(S):
Conservative laparoscopically assisted operative hysteroscopy can be used successfully in hemodynamically stable patients with a cesarean section scar ectopic pregnancy.
