Robotic Management of Large and Ruptured Interstitial Ectopic Pregnancy

Abstract

<h3>Study Objective</h3> To describe management of very advanced and ruptured interstitial ectopic pregnancy, including minimally invasive technique for fertility sparing large wedge resection and surgical techniques to reduce morbidity and mortality <h3>Design</h3> Video Presentation. <h3>Setting</h3> University tertiary care hospital. <h3>Patients or Participants</h3> 22-year-old patient, 12 weeks and 2 days who presented to the emergency department with severe abdominal pain, imaging showed large and viable right interstitial ectopic pregnancy. <h3>Interventions</h3> Interstitial ectopic pregnancies are not common and account for 2-4% of ectopic pregnancies, management of interstitial ectopic pregnancy is a constant challenge due to the lack of general guidelines, a large and viable interstitial ectopic pregnancy could be life threatening due to hemorrhage and delayed diagnosis, The patient underwent Robotically assisted laparoscopic fertility sparing wedge resection and chromopertubation. <h3>Measurements and Main Results</h3> at 1 week follow up patient did well without complications. <h3>Conclusion</h3> Interstitial ectopic pregnancy is not common and a viable and advanced gestational age interstitial ectopic pregnancy is even less common, but robotically assisted laparoscopic fertility sparing wedge resection with surgical techniques to minimize blood loss decrease the risk of infertility and the morbidity associated with large blood loss, patient was counseled regarding the need for cesarean section in future pregnancies due to the increased risk of uterine rupture.