Use Of Electrosurgery Research Articles

Embryofetoscopy followed by hysteroscopic evacuation of a first trimester missed abortion in a woman with septate uterus

To describe the technique of embryofetoscopy performed with 5Fr instruments with targeted evacuation of the gestational sac followed by a visual dilatation and curettage (D&C) using the hysteroscopic tissue removal system for the management of first trimester missed abortion in a patient with uterine septum. Video case-report. University tertiary-care hospital. A 32-year-old nulliparous (G3P0020) woman with septate uterus and a 7-week missed abortion. Written informed consent was obtained from the patient. Transvaginal pelvic ultrasound revealed a 7-week missed abortion. A 3D-ultrasound confirmed the presence of a partial uterine septum. Operative hysteroscopy under spinal anesthesia was performed using a vaginoscopic approach. A partial septum was observed, and a dysmorphic gestational sac was visualized in the left hemicavity.A small incision was made in the amniotic sac using a 5Fr-bipolar electrode allowing direct visualization of the embryo. The entire embryo was removed, and selective biopsies of the chorionic villi using the hysteroscopic "grasp biopsy" technique were obtained. The residual gestational sac was removed using a 6.25 mm tissue retrieval system. No cervical dilation was required.The patient was discharged on the same day of the procedure. No intraoperative bleeding was encountered. The overall operation time was 21 minutes. A postprocedure ultrasound confirmed the presence of an empty cavity. It was determined that further evaluation of the septum was needed before proceeding with hysteroscopic metroplasty. Step-by-step demonstration of the technique and some tips and tricks for bleeding management. Complete evacuation of the uterine cavity under direct visualization. Embryofetoscopy with miniaturized instruments allows selective targeting of trophoblastic and fetal tissues, avoiding the risk of maternal tissue contamination of the specimen. As reported in the literature, the visual D&C using tissue retrieval system could be a safe and innovative alternative for the treatment of early pregnancy loss. Compared with the use of hysteroscopic resection, tissue removal devices offer the advantage of not requiring cervical dilation and do not involve the use of electrosurgery, thus reducing damage to the uterine cavity. The combination of embryofetoscopy with visual D&C offers several advantages, especially in patients with congenital uterine anomalies, in which performing a blind D&C has a higher risk of complications.

The Outcomes of Using Scalpel and Electrosurgery Methods for Anterior Abdominal Wall Incision During Cesarean Section

Background: There are different ways to make a surgical incision. The most widely used ones are the use of scalpel and electrosurgery. Each of these methods has advantages and disadvantages that affect its use. Objectives: This study aimed to compare scalpel and electrosurgery methods in cutting the anterior abdominal wall during Cesarean section. Methods: This double-blind clinical trial manner was conducted by permuted block randomization. The participants were placed in two groups. In the scalpel group, incisions were made with a scalpel, and in the electrosurgery group, incisions were made with an electrosurgical pencil. This clinical trial was conducted on 86 pregnant women who were candidates for Cesarean section with spinal anesthesia. The inclusion criteria were an age range of 18 - 45 years, gestational age of 37 - 41 weeks, Pfannenstiel skin incision, and willingness to participate. The exclusion criteria were emergency Cesarean section, vertical skin incisions, incomplete medical files, chronic skin diseases, allergy to antibiotics, consuming anticoagulants, cardiovascular and pulmonary problems, and underlying diseases. Results: There was no significant difference between the two groups in terms of intraoperative bleeding, newborn Apgar score, postoperative pain, and wound complications. However, the duration of surgery (P = 0.012), incision time (P = 0.049), and hemodynamic status showed a significant difference (P < 0.05). Conclusions: The use of electrosurgery to make a surgical incision does not pose a risk to the patient if safety points are followed.

Implementation of an Electrosurgical Checklist in a Podiatry Unit in Relation to a Case of Inadvertent Burns during Hallux Valgus Surgery

Iatrogenic burns are unpleasant and sometimes difficult to explain to patients. Podiatric surgeons routinely use electrosurgical devices to cut and coagulate tissue during surgical procedures. Although advances in technology have made electrosurgery increasingly safer for patients and personnel, its use is still poorly understood by the surgical community, and the hazards associated with its use still exist presently. Human error, direct or indirect transfer of electricity to a conductive device, or device malfunction can cause serious adverse events, including burns, electrical shocks, and or fires. Here, we report a rare case of a 43-year-old man who suffered severe burns during hallux valgus surgery. The surgeon and the nursing staff did not notice any injuries during the surgical intervention. This unusual clinical case serves to highlight the importance of implementing protocols to prevent injuries related to the use of electrosurgery. Based on this report, a specific checklist was implemented to prevent adverse events related to electrosurgery in our podiatric surgery unit to reduce the risk of electrosurgical complications. The implementation of the checklist can be useful to help health professionals improve patient safety during surgery and avoid potential medico–legal liability claims.

Εlectrosurgery: understanding of basic principles, safe practices and applications in gynecologic surgery.

Electrosurgery is a continuously evolving field that has nowadays become a necessity in operating theatres. The expanding use of electrosurgery has been associated with a high number of thermal injuries, thus the fundamental understanding of how each of the energy devices work and their effect on biological tissues is very important and continuing education regarding electrosurgical technology is paramount for avoiding patient complications. This review describes the basic principles and modalities of electrosurgery, their biological effects on tissues and variables that can affect them, the evolution in the field of electrosurgery, its wide use in gynecological procedures, as well as the risk and complications that are commonly seen in electrosurgery.

Surgeons know that they don't know about the safe use of surgical energy: an international study reveals that the knowledge gap persists.

The rate of electrosurgery complications is 0.1-2.1%. More than 10years ago, SAGES pioneered a well-structured educational program (FUSE) aimed to teach about the safe use of electrosurgery. This inspired the development of similar training programs around the globe. Still, the knowledge gap persists among surgeons, possibly due to the lack of judgment. To investigate factors affecting the level of expertise in electrosurgical safety and their correlation with self-assessment scores among surgeons and surgical residents. We conducted an online survey consisting of 15 questions that could be thematically broken down into 5 blocks. We analyzed how the objective scores were correlated with the self-assessment scores, professional experience, past participation in training programs, and work at a teaching hospital. A total of 145 specialists took part in the survey, including 111 general surgeons and 34s-year surgical residents from Russia, Belarus, Ukraine, and Kirgizia. Only 9 (8.1%) surgeons scored "excellent," 32 (28.8%) scored "good," and 56 (50.4%) scored "fair." Of all surgical residents participating in the study, only 1 (2.9%) scored "excellent," 9 (26.5%) scored "good," and 11 (32.4%) scored "fair." The test was failed by 14 surgeons (12.6%) and 13 (38.2%) residents. The difference between the trainees and the surgeons was statistically significant. Our multivariate logistic model identified 3 significant factors predisposing to successful performance on the test: past training in the safe use of electrosurgery, professional experience, and work at a teaching hospital. Of all study participants, those with no past training in the safe use of electrosurgery, and non-teaching surgeons were the most realistic about their competencies. We have identified alarming gaps in the knowledge of electrosurgical safety among surgeons. Faculty staff and experienced surgeons scored higher, but past training was the most influential factor in improving knowledge of electrosurgical safety.

Differences in the Levels of Total Volatile Organic Compound (TVOC) and Formaldehyde in Cigarette Smoke and Electrocautery Produced Smoke in Orthopaedic Surgery at IGNG Ngoerah (Sanglah) Denpasar General Hospital

Introduction: In surgeons, electrosurgical surgical devices are gaining attention that stands out as one of the most useful and most widely used instruments. Thus, the instrument of electrical surgery is undoubtedly one of the most useful and most frequently used tools by surgeons. However, not many realize that the use of electrosurgery can produce smoke containing quite harmful gases such as TVOC gases such as benzene, nitrile, hydrocyanides and other hydrocarbons as well as Formaldehyde. Methods: This study used a Crossectional Observational research design with a control group, namely cigarette smoke, and a cauter smoke treatment group. Samples in the form of TVOC and fromaldehyde levels were taken as a result of all cigarette smoke and cauterized smoke operating at IBS Sanglah Hospital in Denpasar. Then patients from each age level will be randomized using the Online Research Randomizer (randomizer.org) application. Then the levels of TVOC and fromaldehyde are measured in the area of operation, and for cigarette smoke it is carried out using non-filtered cigarettes. Results: In this study, the cigarette group had an average TVOC of 9,841 mg/m3 and formaldehyde of 1,197 mg/m3. Meanwhile, the average TVOC in the electrocautery group was 6.34 mg/m3with the average formaldehyde contained in this study of 0.87 mg/m3. It was also found in the combined levels of TVOC and formaldehyde in the cigarette group of 5.51 mg/m3which was greater than the electrocauter group of 3.60 mg/m3. Conclusion: Levels of TVOC and formaldehyde in orthopedic surgical electrocauteric smoke are lower levelsthan cigarette smoke. The combined total level of electrocauteric smoke of TVOC and formaldehyde content in orthopedic surgery is lower than the combined total level of TVOC and formaldehyde content in cigarette smoke.

Use of Electrosurgery to Refine Cartilaginous Structures in Rhinoplasty

Use of Electrosurgery to Refine Cartilaginous Structures in Rhinoplasty

Understanding the safe application of electrosurgery: A cross sectional study of surgeons in KSA

ObjectivesTo determine whether surgeons at different levels and in different specialties are aware of the safe and acceptable use of electrosurgery. In addition, we aimed to provide a fundamental understanding of electrosurgery and surgical diathermy. Materials and MethodsA total of 83 doctors from different specialties were randomly selected from several hospitals across KSA. The participants answered a questionnaire featuring 16 questions that addressed 10 domain questions regarding the safe use of electrosurgery. ResultsAnalysis revealed that the respondents either lacked knowledge or were unfamiliar with the use and safety of monopolar and bipolar electrosurgery in terms of application. Some respondents were unable to distinguish between the two protocols; this may have resulted in injuries being incurred by patients under their supervision. ConclusionsElectrosurgery should be formally included in specialty surgical Saudi hospital training programs to increase electrosurgery expertise and surgeons should be re-tested periodically. Our findings may be used to drive future learning. Surgeons may improve their electrosurgery skills by progressing along their learning curve to reach their peak. In addition, surgeons can use virtual reality surgical simulators to practice fundamental and sophisticated electrosurgery skills.

7458 Approach to the Fertility-Preserving Surgical Management of a Unicornuate Uterus with a Noncommunicating, Functional Rudimentary Horn

<h3>Study Objective</h3> To demonstrate how a unicornuate uterus with a functional non-communicating rudimentary horn in a patient desiring fertility can be safely managed with a robotic approach <h3>Design</h3> Stepwise demonstration of the technique with narrated video footage. <h3>Setting</h3> A tertiary academic hospital <h3>Patients or Participants</h3> A healthy 22-year-old presenting with complaints of cyclic dysmenorrhea and desire for future fertility. <h3>Interventions</h3> A robotic-assisted laparoscopic approach to the resection of a functional non-communicating rudimentary horn with several key strategies to minimize blood loss, damage of normal tissue, and prevention of adhesion formation. 1. Placing a stay suture through the tissue of the rudimentary horn to aid with traction and counter traction necessary for enucleation of the horn in the correct tissue cleavage plane. 2. Minimizing blood loss by dilute vasopressin injection at planned incision site along with care to stay within the fibrotic tissue layer connecting the rudimentary horn to the unicornuate uterus. 3. Removing canalized fallopian tube attached to rudimentary horn to prevent rudimentary horn pregnancy. 4. Combination cold dissection with careful and deliberate use of electrosurgery following principles to minimize thermal injury to surrounding normal myometrium. 5. Two-layer non-locking suture to restore tissue integrity, ensure hemostasis, and prevent adhesion formation. 6. Surgical treatment (excision preferred) of all endometriosis at the time of surgery. <h3>Measurements and Main Results</h3> Final pathology confirmed a rudimentary horn with functioning endometrial tissue, endometriosis implants, and endometriosis of the appendix. <h3>Conclusion</h3> This technique allows for the surgical removal of a non-communicating rudimentary horn with: Restoration of anatomy, prevention of rudimentary horn pregnancy, removal of endometriosis, and optimization of future fertility.

7426 Hysteroscopic Resection of an Endocervical Cesarean Scar Fibroid

<h3>Study Objective</h3> To present a case of a hysteroscopic resection of an endocervical fibroid from within a Cesarean scar defect (CSD), also known as an isthmocele. <h3>Design</h3> Video case presentation. <h3>Setting</h3> Operative hysteroscopic procedure performed at an urban, academic surgical center. <h3>Patients or Participants</h3> 37-year-old G4P3013 with a history of 3 prior Cesareans, a hysteroscopic and abdominal myomectomy. For 3 months following a spontaneous abortion, she experienced abnormal uterine bleeding. Saline infusion sonogram and MRI revealed a 2.9 cm anterior endocervical fibroid. Options for management were reviewed. Following a short course of progestins that resulted in persistent intermenstrual spotting, and considering desire for future pregnancy, hysteroscopic resection was subsequently decided. <h3>Interventions</h3> Hysteroscopic myomectomy of CSD myoma. <h3>Measurements and Main Results</h3> Successful hysteroscopic resection and techniques to limit intraoperative and postoperative bleeding are described. Postoperatively, the patient had heavy bleeding in PACU with a quantitative blood loss of 700 mL. <h3>Conclusion</h3> Preoperative, intraoperative, and postoperative considerations for this case are reviewed. Preoperative considerations include adequate counseling, imaging such as MRI, thorough discussion of the risks and understanding of the patient's desires in the event of possible hysterectomy. Intraoperatively, primary prevention of bleeding can be attempted with the use of vasoconstrictive agents for both parametrial and intra-myoma instillation to reduce blood flow to the uterus and fibroid. Minimizing the use of electrosurgery may be preferable given the high risk of perforation. Postoperatively, uterotonics are often ineffective at controlling CSD bleeding given the minimal residual myometrium, but antifibrinolytics such as tranexamic acid may be more helpful. If not placed in the operating room under hysteroscopic or ultrasound guidance, an intrauterine balloon can also be inserted postoperatively for tamponade.

Commentary to: Sutureless circumcision using monopolar diathermy and 2-octyl cyanoacrylate is safe and effective in a cohort of 634 post-neonatal prepubescent boys

In the late ’90s, a paediatric surgical resident was called to the emergency department to examine a neonate for a potential complication after ritual circumcision. The resident confirmed complete gangrene of the penile body following the application of an unconfirmed chemical substance to stop bleeding. Complete amputation of the penile body occurred a few days later. The circumcision was performed by a physician who seemed to be a relative to the child. This resident was me. Similar cases of penile gangrene after circumcision are reported in the literature [ 1 Rizvi S.A. Naqvi S.A. Hussain M. Hasan A.S. Religious circumcision: a Muslim view. BJU Int. 1999; 83: 13-16 Google Scholar , 2 Altokhais T.I. Electrosurgery use in circumcision in children: is it safe?. Urol Ann. 2017; 9: 1-3 Google Scholar , 3 Seleim H.M. Elbarbary M.M. Major penile injuries as a result of cautery during newborn circumcision. JPS. 2016; 51: 1532-1537 Google Scholar ]. Sutureless circumcision using monopolar diathermy and 2-octyl cyanoacrylate is safe and effective in a cohort of 634 post-neonatal prepubescent boysJournal of Pediatric UrologyVol. 18Issue 6PreviewCircumcision is the most commonly performed surgical procedure in the world, with one-third of males circumcised globally. Post-neonatal, prepubescent sutured circumcision demonstrates complication rates ranging from 1.7% to 9.1%. We have previously reported that 2-octyl cyanoacrylate (2-OCA, Dermabond, Ethicon) primary circumcision (PC) and circumcision revision (CR) in prepubescent children demonstrated superior cosmesis, shorter operating room (OR) times and cost savings. Full-Text PDF Response to commentary re no instruments, no sutures, no worries: Circumcision using monopolar diathermy and 2-octyl cyanoacrylate is safe and effective in a cohort of 634 post-neonatal prepubescent boysJournal of Pediatric UrologyVol. 18Issue 6PreviewJust as there is debate about whether to perform circumcision, so too are there opinions about how to do them. Sadly, the reviewer witnessed a devastating complication following a circumcision. This anecdotal experience may have blinded their view of circumcision in general. However, we must remember that electrocautery and chemical cautery are two distinct entities. The reader of our manuscript should be reassured that the procedure we describe is both safe and effective when performed by trained experts. Full-Text PDF

Incidence of and risk factors for surgical site infection following canine limb amputation.

To determine the incidence of and risk factors for surgical site infection (SSI) following canine thoracic and pelvic limb amputations. Retrospective, multicenter study. Dogs (n=248). Medical records were reviewed for preoperative, intraoperative, and postoperative variables including indication for amputation, amputation type, method of muscle transection, duration of surgery and anesthesia, and wound classification. Follow up was ≥30 days or until SSI development. Logistic regression and Fisher's exact tests were used to compare SSI incidence to variables of interest. The incidence of SSI was 12.5% for all procedures and 10.9% for clean procedures. Factors increasing odds of SSI were muscle transection with a bipolar vessel sealing device (P=.023 for all procedures, P=.025 for clean procedures), procedure classified as other than clean (P=.003), and indication for amputation of bacterial infection (P=.041) or traumatic injury (P=.003) compared to neoplasia. Use of bipolar vessel sealing devices for muscle transection increased the odds of developing an SSI whereas use of electrosurgery and/or sharp transection did not. Dogs with surgical sites that were other than clean, or with bacterial infection and/or traumatic injury were also at increased odds of SSI. Use of electrosurgery or sharp transection for muscle transection should be considered rather than use of bipolar vessel sealing devices to decrease odds of SSI in dogs undergoing limb amputation. Further studies across a variety of procedures are needed to validate these findings given the increasing popularity of these devices in veterinary medicine.

A Cross-Sectional Assessment of Awareness about Safe Use of Electrosurgery among Surgery Residents : A Northern Saudi Study

A Cross-Sectional Assessment of Awareness about Safe Use of Electrosurgery among Surgery Residents : A Northern Saudi Study

Fertility-Preserving Surgical Management of a Cesarean Section Scar Ectopic Pregnancy

To demonstrate techniques used for fertility-preserving surgical management of a cesarean scar ectopic pregnancy. A narrated video case report demonstrating techniques and surgical approach. With the increasing number of cesarean deliveries being performed, cesarean scar ectopic pregnancies (CSEP) have an increasing incidence affecting approximately 1 in 2000 pregnancies. CSEP can be associated with serious complications, which include maternal hemorrhage, uterine rupture, and even maternal death. This video highlights a case presentation of a 28-year-old G6P4014 with a history of 4 previous cesarean deliveries who presented with a persistent cesarean scar ectopic pregnancy that had failed previous medical management. This video highlights the techniques that allow for fertility-preservation with restoration of normal anatomy as well as minimizing blood loss with a potentially morbid procedure. Techniques used to allow for fertility preservation with restoration of normal anatomy: 1. Utilization of avascular spaces and identification of critical structures to restore anatomy that is often distorted by the CSEP. 2. Limited use of electrosurgery to allow for adequate postoperative healing. 3. Identification of the endometrial cavity to allow for complete removal of the CSEP and isthmocele repair. Techniques used to minimize blood loss: 1. Intracervical injection of dilute vasopressin. 2. Intrauterine injection of dilute vasopressin (20U in 60 cc of injectable saline). 3. Temporary occlusion of bilateral gonadal vessels using surgical clips. The surgical techniques highlighted in this video allow for the surgical removal of a cesarean scar ectopic pregnancy with concurrent repair of the uterine defect, allowing for restoration of normal anatomy. This is a safe and feasible fertility-preserving option that can be performed using a minimally-invasive approach.

Hysteroscopic Resection of an Endocervical Cesarean Scar Fibroid

<h3>Study Objective</h3> To present a case of a hysteroscopic resection of an endocervical fibroid from within a Cesarean scar defect (CSD), also known as an isthmocele. <h3>Design</h3> Video case presentation. <h3>Setting</h3> Operative hysteroscopic procedure performed at an urban, academic surgical center. <h3>Patients or Participants</h3> 37-year-old G4P3013 with a history of 3 prior Cesareans, a hysteroscopic and abdominal myomectomy. For 3 months following a spontaneous abortion, she experienced abnormal uterine bleeding. Saline infusion sonogram and MRI revealed a 2.9 cm anterior endocervical fibroid. Options for management were reviewed. Following a short course of progestins that resulted in persistent intermenstrual spotting, and considering desire for future pregnancy, hysteroscopic resection was subsequently decided. <h3>Interventions</h3> Hysteroscopic myomectomy of CSD myoma. <h3>Measurements and Main Results</h3> Successful hysteroscopic resection and techniques to limit intraoperative and postoperative bleeding are described. Postoperatively, the patient had heavy bleeding in PACU with a quantitative blood loss of 700 mL. <h3>Conclusion</h3> Preoperative, intraoperative, and postoperative considerations for this case are reviewed. Preoperative considerations include adequate counseling, imaging such as MRI, thorough discussion of the risks and understanding of the patient's desires in the event of possible hysterectomy. Intraoperatively, primary prevention of bleeding can be attempted with the use of vasoconstrictive agents for both parametrial and intra-myoma instillation to reduce blood flow to the uterus and fibroid. Minimizing the use of electrosurgery may be preferable given the high risk of perforation. Postoperatively, uterotonics are often ineffective at controlling CSD bleeding given the minimal residual myometrium, but antifibrinolytics such as tranexamic acid may be more helpful. If not placed in the operating room under hysteroscopic or ultrasound guidance, an intrauterine Foley balloon can also be inserted postoperatively for tamponade.

SURGICAL CORRECTION FOR GINGIVAL DEPIGMENTATION USING ELECTROSURGERY-A CASE REPORT

The harmony of smile is determined not only by the shape, position and colour of the teeth but also by the colour of the gingival tissues. Excessive gingival pigmentation is a major aesthetic concern for many people. Though, it is not a medical problem but many people complain of dark gums as unesthetic. Aesthetic gingival depigmentation can be performed in such patients with excellent results. A case is reported here in which a simple and effective gingival depigmentation was performed with the use of electrosurgery which provides increased satisfaction in patients

Electrosurgery Use During Post-Mohs Micrographic Surgery Repair and Complication Rates-How Important is a Dry Field?

Electrosurgery is used to achieve hemostasis during surgery. There are no studies exploring the effects of the use or avoidance of electrodessication during Mohs micrographic surgery (MMS) repair. Given the growing concerns for tissue aerosolization, occupational smoke exposure, and spread of infectious diseases, it is important to determine the importance of electrical hemostasis. In this retrospective study, electronic medical records of a single, tertiary, academic dermatology practice were reviewed. All MMS cases that underwent surgical repair from January 1 to December 31, 2019, by 2 dermatologic surgeons (one who used electrodessication during repair and one who did not) were included. Patient demographic data, information regarding the procedures, and complications occurring 90 days after MMS were recorded. One hundred ninety-eight cases of MMS repair used electrodessication, whereas 193 cases did not. There was no significant difference in the demographic makeup, MMS procedure, or 90-day complication rates between the 2 groups. No major adverse events were MMS-related. The use or avoidance of electrodessication during MMS repair was not associated with increased 90-day postoperative complications, suggesting that a greater tolerance of moderate oozing at a surgical site during MMS repair is reasonable to minimize electrosurgical tissue damage and occupational smoke exposure.

Guidelines in Practice: Electrosurgical Safety.

Surgeons routinely use electrosurgical devices to cut and coagulate tissue during surgical procedures. However, hazards associated with electrosurgery (eg, burns, electrical shock, fire) can place patients or personnel at risk. Perioperative nurses should standardize processes, preoperatively assess the risks for electrosurgical injuries, and participate in education activities on electrosurgical safety to help prevent injuries from occurring. The AORN "Guideline for electrosurgical safety" provides guidance to perioperative personnel for safe use of electrosurgical units, electrocautery devices, and argon-enhanced coagulators. This article discusses prevention of electrosurgical unit injuries, including those that can be caused by electrosurgical accessories. A scenario describes how a team investigating two incidents related to use of electrosurgery uses an assessment tool to identify risks for injury and includes a report of these risks in the surgical briefing. Perioperative RNs should review the entire guideline for additional information when creating and updating policies and procedures for electrosurgical safety.

Principles and safe use of electrosurgery in minimally invasive surgery

Principles and safe use of electrosurgery in minimally invasive surgery

Surgical Technique for Removal of an Ovarian Ectopic Pregnancy: Minimizing Disruption of the Ovarian Stroma

Study Objective To successfully complete laparoscopic removal of an ovarian ectopic pregnancy without the use of electrosurgery and with minimization of damage to the ovarian stroma. Design N/A Setting The patient was placed in dorsal lithotomy position in steep Trendelenburg to aid in performance of pelvic laparoscopy. Insufflation was carried out to 15mmHg. A primary 10mm umbilical trocar was used for the camera and three additional 5mm assist ports were placed. Patients or Participants The patient is a 34-year-old G4P1021 who was diagnosed with presumed left adnexal ectopic pregnancy at 6 weeks gestation following ovulation induction with intrauterine insemination. The patient required three doses of methotrexate in order to experience a decrease in HCG level. The patient then presented with worsening pelvic pain, and repeat transvaginal ultrasound showed presumed left ovarian ectopic pregnancy without evidence of rupture. After options counseling, she opted to proceed with laparoscopic removal of the ectopic pregnancy. Interventions Diagnostic laparoscopy, removal of left ovarian ectopic pregnancy using an Endoloop device Measurements and Main Results Final pathology confirmed ovarian ectopic pregnancy. HCG levels declined to Conclusion Ovarian ectopic pregnancies can be safely and effectively removed using this simple technique while minimizing the risk of damage to ovarian stroma that may occur when performing electrosurgery or a wedge resection.