Page 95 - World Journal of Laparoscopic Surgery
P. 95

Laparoscopic Management of Uncommon Presentations of Ectopic Pregnancy
            Management is mainly by resection of the horn with pregnancy      7.  Hwu YM, Hsu CY, Yang HY. Conservative treatment of caesarean scar
            in situ. 14                                             pregnancy with transvaginal needle aspiration of the embryo. BJOG
                                                                    2005;112(6):841–842. DOI: 10.1111/j.1471-0528.2004.00533.x.
                                                                 8.  Wang YL, Su TH, Chen HS. Operative laparoscopy for unruptured
            conclusIon                                              ectopic pregnancy in a caesarean scar. BJOG 2006;113(9):1035–1038.
            Ectopic pregnancy is on the rising trend. Diagnosis requires high   DOI: 10.1111/j.1471-0528.2006.01031.x.
            index of suspicion, ultrasound, serum beta HCG, and MRI aid in     9.  Deans R, Abbott J. Hysteroscopic management of cesarean scar
            the diagnosis. Ruptured ectopic causes massive hemorrhage and   ectopic pregnancy. Fertil Steril 2010;93(6):1735–1740. DOI: 10.1016/
                                                                    j.fertnstert.2008.12.099.
            shock. Timely intervention prevents maternal near miss. Surgical     10.  Fuchs N, Manoucheri E, Verbaan M, et al. Laparoscopic management
            management by laparoscopy in experienced hands reduces   of extrauterine pregnancy in caesarean section scar: description of
            maternal morbidity to a greater extent. Since all the ectopic   a surgical technique and review of the literature. BJOG 2015;122(1):
            pregnancies described are rare forms of ectopic pregnancies, there   137–140. DOI: 10.1111/1471-0528.13060.
            is paucity of data comparing different modalities of treatment and     11.  Einenkel J, Stumpp P, Kösling S, et al. A misdiagnosed case of
            more research is needed to know the best line of management.   caesarean scar pregnancy. Arch Gynecol Obstet 2005;271(2):178–181.
            However, laparoscopic management of ectopic pregnancy   DOI: 10.1007/s00404-004-0683-1.
            should be the preferred line of management when possible as     12.  Faraj R, Steel M. Management of cornual (interstitial) pregnancy.
                                                                    Obstet Gynaecol 2007;9(4):249–255. DOI: 10.1576/toag.9.4.249.27355.
            it is associated with lesser postoperative pain, shorter hospital     13.  Brincat M, Bryant-Smith A, Holland TK. The diagnosis and
            stay, faster return to normal function and to work in addition to     management of interstitial ectopic pregnancies: a review. Gynecol
            having cosmetic advantages. Vasopressin was used in all our   Surg 2019;16(1):2. DOI: 10.1186/s10397-018-1054-4.
            patients and helped in reducing blood loss significantly.    14.  Herchelroath  D,  Miller  JL,  Wang  KC.  Novel  management  of
                                                                    ectopic pregnancy in a noncommunicating rudimentary horn of a
                                                                    unicornuate uterus. J Am Osteopath Assoc 2018;118(9):623–626. DOI:
            references                                              10.7556/jaoa.2018.137.
              1.  Brancazio S, Saramago I, Goodnight W, et al. Cesarean scar ectopic     15.  Tesemma MG. Pregnancy in noncommunicating rudimentary
                pregnancy: case report. Radiol Case Rep 2019;14(3):354–359. DOI:   horn of unicornuate uterus: a case report and review of the
                10.1016/j.radcr.2018.12.001.                        literature. Case Rep Obstet Gynecol 2019;2019:1489751. DOI:
              2.   Al Gadeeb S, Al Gadeeb M, Al Matrouk J, et al. Cesarean scar–unusual   10.1155/2019/1489751.
                site of ectopic pregnancy: a case report. Cureus 2019;11(10):e5970.     16.  Della Corte L, Fabozzi A, Giampaolino P, et al. A case of 20-week
                DOI: 10.7759/cureus.5970.                           abortion in a rare communicating rudimentary horn of a
              3.  Alagbe OA, Adeniyi TO, Abayomi OA, et al. Interstitial ectopic   misinterpreted unicornuate uterus, incorrectly diagnosed as
                pregnancy: a case report. Pan Afr Med J 2017;28(1):132. DOI: 10.11604/  bicornuate: a serious hazard! Eur J Obstet Gynecol Reprod Biol
                pamj.2017.28.135.13889.                             2019;235:133–135. DOI: 10.1016/j.ejogrb.2019.02.018.
              4.  Lad NL, Lad NN. Laparoscopic management of scar ectopic     17.  Buntugu K, Ntumy M, Ameh E, et al. Rudimentary horn pregnancy:
                pregnancy. Fertil Sci Res 2014;1(1):54. DOI: 10.4103/2394-4285.146708.  pre-rupture diagnosis and management. Ghana Med J 2008;42(2):
              5.  Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG   92–94. PMID: 19180211.
                2007;114(3):253–263. DOI: 10.1111/j.1471-0528.2006.01237.x.    18.  Edelman AB, Jensen JT, Lee DM, et al. Successful medical abortion
              6.  Tamada S, Masuyama H, Maki J, et al. Successful pregnancy located   of a pregnancy within a noncommunicating rudimentary uterine
                in a uterine cesarean scar: a case report. Case Rep Women’s Health.   horn. Am J Obstet Gynecol 2003;189(3):886–887. DOI: 10.1067/s0002-
                2017;14:8–10. DOI: 10.1016/j.crwh.2017.03.003.      9378(03)00121-2.



































                                                       World Journal of Laparoscopic Surgery, Volume 15 Issue 1 (January–April 2022)  93
   90   91   92   93   94   95