The value of laparoscopy alone or combined with hysteroscopy in the treatment of interstitial pregnancy: analysis of 22 cases.

OBJECTIVE

The purpose of this study was to investigate the value of laparoscopy alone or combined with hysteroscopy in treating clinically stable interstitial pregnancy.

STUDY DESIGN

Clinically stable women with interstitial pregnancy were enrolled in the study. They were treated either with laparoscopy or with a combination of laparoscopy and hysteroscopy and suction.

RESULTS

Of 22 cases, 15 were treated with laparoscopy. Five out of seven cases were successfully treated with hysteroscopy and suction using an 8 F pediatric catheter. Two cases converted to a resection of the uterine cornua and salpingectomy with laparoscopy and laparotomy, respectively, secondary to cornual uterine perforation.

CONCLUSION

Laparoscopy alone or combined with hysteroscopy can treat clinically stable interstitial pregnancy successfully. Transcervical suction using an 8 F pediatric catheter placed through the cornual end under laparoscopic and hysteroscopic guidance, preserving the uterus and fallopian tube, is an effective option for management of interstitial pregnancy in selected patients.