Ovarian Ectopic Pregnancy: Laparoscopic Excision and Ovarian Conservation

2019 ◽  
Vol 26 (7) ◽  
pp. S95
Author(s):  
K Ma ◽  
N Kaur
Keyword(s):  
Ectopic Pregnancy ◽  
Laparoscopic Excision ◽  
Ovarian Conservation

scholarly journals Caesarean scar ectopic pregnancy

2018 ◽  
Vol 7 (5) ◽  
pp. 2038
Author(s):  
T. Ramani Devi ◽  
T. Sweta ◽  
C. Archana Devi
Keyword(s):  
Ectopic Pregnancy ◽  
Conservative Management ◽  
Abdominal Cavity ◽  
Delayed Diagnosis ◽  
Reproductive Age ◽  
Mortality And Morbidity ◽  
Caesarean Scar ◽  
Future Fertility ◽  
Laparoscopic Excision ◽  
Life Threatening

Ectopic pregnancy is a common cause of mortality and morbidity among the women of reproductive age group. Tubal pregnancy is the commonest.  It can occur in cervix, ovaries, previous caesarean scar, interstitial portion of the tube and abdominal cavity. Here we report a case of caesarean scar ectopic pregnancy which was managed conservatively. 31 yrs old gravid 3 previous 1 LSCS and 1 tubal ectopic come for antenatal consultation at 35 days of gestation. UPT was Positive. USG showed no evidence of intra uterine sac. Repeat scan after 10 days showed a gestational sac at the lower uterine segment scar. Hence it was decided for conservative management, injection methotrexate 50 mgm X 2 doses given. This was followed by misoprost vaginal insertion. Since patient did not expel the sac, injection PG F2 alpha 125 mg x 2 doses were given. Patient expelled the products of conception partially. This was followed by hysteroscopic guided evacuation.Caesarean scar ectopic was reported in 1978. Early diagnosis is by TV USG / MRI. Early ectopic can be treated medically. In delayed diagnosis, laparoscopic excision of the scar has to be done. In rupture of the scar site ectopic pregnancy laparotomy is indicated. In the event of heavy bleeding, hysterectomy has to be done. After conservative management and excision of the scar, fertility is not altered. Caesarean section scar pregnancy is a rare form of ectopic pregnancy which can lead to life threatening complications leading to mortality and morbidity. Treatment has to be individualized according to the gestational age, haemodynamic stability and desire for future fertility.

scholarly journals Laparoscopic excision of caesarean scar ectopic pregnancy

2015 ◽  
Vol 60 (3) ◽  
pp. 111
Author(s):  
B.R.G.D.N.K. Biyagama ◽  
A. Fernando ◽  
K.C.D.P. Silva ◽  
M. Kobalakrishnan ◽  
U.N. Wijenayake
Keyword(s):  
Ectopic Pregnancy ◽  
Caesarean Scar ◽  
Laparoscopic Excision

scholarly journals A case report on ruptured rudimentary horn ectopic pregnancy

2021 ◽  
Vol 10 (6) ◽  
pp. 2504
Author(s):  
Milan R. Shingala ◽  
Bhavesh B. Airao
Keyword(s):  
Ectopic Pregnancy ◽  
Rare Condition ◽  
First Trimester ◽  
Normal Pregnancy ◽  
Incomplete Fusion ◽  
Lateral Side ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Wide Range ◽  
Laparoscopic Excision

Unicornuate uterus with noncommunicating rudimentary horn occurs due to incomplete fusion of mullerian ducts. This malformation results from the defective fusion of the duct with the contra-lateral side. This rudimentary horn may or may not have functional cavity. Pregnancy in this horn is a rare phenomenon usually resulting in rupture during second trimester of pregnancy. IT is a rare condition that can lead to a catastrophic outcome when it rupture. Prerupture diagnosis of pregnancy in rudimentary horn with ultrasonography is technically difficult, with sensitivity of 30%. Pregnant rudimentary horn can present with wide range of symptoms that may be similar to ectopic pregnancy or may remain silent with features of normal pregnancy.1-2 We report a case of ruptured non-communicating rudimentary horn at 19 weeks in pregnant lady. In our opinion, routine excision of rudimentary horn should be undertaken during non-pregnant state laparoscopically. However, those women who refuse should be adequately counselled regarding potential complications and if pregnancy occurs in rudimentary horn, first trimester laparoscopic excision should be done.

scholarly journals Laparoscopic Management of Unruptured Interstitial Ectopic Pregnancy

1970 ◽  
Vol 26 (3) ◽  
pp. 147-148
Author(s):  
Shamsun Nahar
Keyword(s):  
Ectopic Pregnancy ◽  
Iliac Fossa ◽  
Signs And Symptoms ◽  
Uterine Wall ◽  
Laparoscopic Excision ◽  
Operative Outcome ◽  
Anterolateral Wall ◽  
Abdominal Examination ◽  
Interstitial Ectopic Pregnancy ◽  
The Right

A 27 years old women para -1 had a complaint of dullache pain in right iliac fossa for 5 days with irregular spotting. Her previous menstrual cycle was normal but in last one month she had an irregular spotting. On examination she was normotensive. Hb% was 65%. there was no tenderness during per abdominal examination but tenderness during per vaginal examination on right side. Transvaginal ultrasonography (TUVS) detected a degenerative sub serous fibroid of 3.5 x 3 cm on the right fundoanterior side, both adnexae were normal, no fluid was present in cul-de-sac. Her pregnancy test was positive but signs and symptoms of pregnancy were absent. Operative plan was intervention by laparoscope. An unruptured interstitial ectopic pregnancy was found at the anterolateral wall of the fundus. Laparoscopic excision was done and the uterine wall sutured with 2/0 polyprolylin. Post operative outcome was good. DOI: 10.3329/jbcps.v26i3.4199 J Bangladesh Coll Phys Surg 2008; 26: 147-148

scholarly journals Laparoscopic Management of Interstitial Ectopic Pregnancies

2014 ◽  
Vol 6 (3) ◽  
pp. 163-166
Author(s):  
Shyam V Desai ◽  
Gaurav S Desai ◽  
Jessi Levi
Keyword(s):  
Ectopic Pregnancy ◽  
Operative Time ◽  
Laparoscopic Management ◽  
Ectopic Gestation ◽  
Estimated Blood Loss ◽  
Laparoscopic Excision ◽  
Interstitial Ectopic Pregnancy ◽  
Ectopic Pregnancies

ABSTRACT This illustration describes the successful laparoscopic management of interstitial ectopic pregnancy. Three women underwent laparoscopic excision for interstitial ectopic gestation. Mean operative time was 49.4 ± 8.4 minutes (41- 69 mins). Estimated blood loss was 50 ± 4 ml. There were no intraoperative or postoperative complications. Duration of hospital stay was 24 ± 3 hours. All patients are doing well on follow-up. The authors demonstrate the role of laparoscopic excision and conclude that this technique, when performed by experienced surgeons, allows for improved dexterity and is a safe and effective method in the management of interstitial ectopic pregnancy. How to cite this article Desai GS, Levi J, Desai SV. Laparoscopic Management of Interstitial Ectopic Pregnancies. J South Asian Feder Obst Gynae 2014;6(3):163-166.

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