Abstract
Cervical ectopic pregnancy is a rare life-threatening obstetrical complication due to the potential of severe maternal hemorrhage. Hysterectomy was considered the gold standard treatment. However, advances in technology that allow early diagnosis have led to the development of alternative, more conservative treatments, including medical therapy and minimally invasive surgery. In this Surgeon's Corner article with accompanying video, we describe a one-step total hysteroscopic approach for the treatment of cervical ectopic pregnancy, performed in an asymptomatic patient with a non-viable cervical ectopic pregnancy at an early gestational age. The hysteroscopic resection was performed using a TruClear 5C mini-hysteroscope with dense tissue shaver. The patient was discharged 24 hours after the procedure with an uneventful postoperative course. We conclude that with proper patient selection, the one step total hysteroscopic approach for the treatment of cervical ectopic pregnancy may offer a surgical treatment that is effective and safe.
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