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Laparoscopic Excision of Cesarean Scar Ectopic Pregnancy
Kusum Lata1, Amenda Ann Davis2, Akshita Panwar2
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
Background:
Cesarean scar ectopic pregnancies are increasing in frequency, due to rise in cesarean deliveries. They should be managed early in pregnancy, preferably by surgical excision, failing which they may rupture, or later develop into morbidly adherent placenta.
Methods:
This is a series of five cases described to explain the instrumentations and techniques in the laparoscopic excision of cesarean scar ectopic pregnancies. Written consent was taken from the patients.
Results:
All five patients underwent successful laparoscopic excision. Follow-up period was uneventful.
Conclusion:
Laparoscopic excision of cesarean scar ectopic is a technically demanding procedure, but with excellent results. All gynecologists should be familiar with this technique due to the increasing incidence of cesarean scar ectopic gestations.
