Laparoscopic management of interstitial pregnancy and fertilityoutcomes after ipsilateral salpingectomy-three case reports

Frontiers in Surgery

Jean-Bernard eDubuisson¹  Jean eBouquet De Jolinière¹  Anis eFeki¹  MANEA eCRISTINA¹  Evangelia ePavlidou²  Aline eAndrey Urias² 

[1] Hôpital Cantonal Fribourg;Hôpitaux Universitaires de Geneve;

关键词: Ectopic pregnancy;    Laparoscopic treatment;    interstitial pregnancy;    minimally invasive laparoscopy;    metothexate;    ipsilateral salpingectomy;   

DOI  :  10.3389/fsurg.2014.00034

来源: DOAJ

【 摘 要 】

Background. Interstitial pregnancy after ipsilateral salpingectomy is a rare event with
potentially serious consequences. Optimal management strategy remains uncertain
and debated. In addition, fertility sparing is determinant of the treatment choice.
Cases. Here we report three cases of interstitial pregnancy occurring after homolateral
salpingectomy. We expose the therapeutic option held in all three situations, which
associated laparoscopic procedure followed by intramuscular methotrexate injection,
with successful outcome for all patients. We also report the fertility outcome for the
first patient, discussing the timing and mode of delivery. Cesarean section at term was
performed for this patient. Conclusion. In these three situations we obtained a
successful result using a minimally invasive surgical approach combined with
systemic methotrexate injection. Cesarean section at term for subsequent intrauterine
pregnancy seems to be the safest delivery strategy, although no clear data exist in
literature.

【 授权许可】

Unknown