Abstract
Video Objective We describe the diagnosis and treatment of interstitial pregnancy, discuss methods of surgical intervention, and demonstrate a laparoscopic cornual resection. Setting The patient was a 30 year old G5P3013 incidentally found to have an 8 week live interstitial pregnancy on ultrasound at a tertiary medical center. Interventions We performed a laparoscopic cornual resection and repair using dilute vasopressin, harmonic and bipolar energy, and barbed sutures for repair. Conclusion Interstitial ectopic pregnancy is rare and challenging to diagnose. Treatment depends on gestational age, clinical picture, and surgical expertise. Both cornual resection and cornuotomy are described for treatment. Many techniques can be used for hemostasis, including vasopressin, surgical energy devices, compression of the interstitium, and temporary occlusion of the uterine vessels.
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