Surgical Management of Interstitial Ectopic Pregnancy

Abstract

Study Objective To demonstrate a minimally invasive surgical technique for management of interstitial ectopic pregnancy Design N/A Setting Operating room Patients or Participants Patients with interstitial ectopic pregnancy requiring surgical management Interventions Removal of interstitial ectopic pregnancy Measurements and Main Results N/A Conclusion Management of interstitial ectopic pregnancy has traditionally been performed via cornual wedge resection. We present a minimally invasive approach using a four step process: (1) identify the location of the interstitial pregnancy, (2) utilize hemostatic measures such as vasopressin, vessel occlusion, or tranexamic acid, (3) create a circumferential linear incision over the specimen leaving a tissue pedicle, and (4) complete a double layer running closure for re-approximation and hemostasis.