Proximal interstitial pregnancy resection exclusively using hysteroscopic resectoscope

Area of Science:

• Reproductive Medicine
• Minimally Invasive Surgery
• Gynecologic Oncology

Background:

• Interstitial pregnancies, accounting for 1% of ectopic gestations, carry a significant mortality risk (2%-2.5%) if untreated.
• Conventional treatments include methotrexate, interstitial wedge resection, or cornuostomy, each with potential drawbacks.
• Minimally invasive surgical options are sought to improve outcomes and preserve fertility.

Purpose of the Study:

• To present a case of successful hysteroscopic resection of an interstitial ectopic pregnancy.
• To evaluate the feasibility and efficacy of using a hysteroscopic resectoscope for this condition.
• To highlight a fertility-sparing treatment option for interstitial pregnancy.

Main Methods:

• A case report of a woman in her 20s diagnosed with a 6-week interstitial ectopic pregnancy.
• Surgical intervention via hysteroscopic resection using a hysteroscopic resectoscope.
• Ultrasound for diagnosis and monitoring.

Main Results:

• Successful resection of the interstitial ectopic pregnancy with minimal blood loss.
• The patient subsequently achieved a successful future pregnancy.
• Demonstrated the viability of hysteroscopic resection for unruptured interstitial ectopic pregnancy.

Conclusions:

• Hysteroscopic resection with a resectoscope is a viable and effective treatment for unruptured interstitial ectopic pregnancy.
• This minimally invasive technique can preserve future fertility.
• Offers a promising alternative to traditional surgical or medical management.