Laparoscopy-Assisted Vaginal Cornual Resection for the Treatment of Large Interstitial Pregnancy

Abstract

Abstract

Purpose:

To present the experience of laparoscopy-assisted vaginal cornual resection for the treatment of two cases of large interstitial pregnancy.

Subjects and Methods:

Surgeons performed laparoscopic cornual resection initially for the first case but encountered torrential hemorrhage, which was controlled immediately by conversion to the vaginal approach. Following this experience, laparoscopy-assisted vaginal cornual resection was performed directly after laparoscopic inspection for the second case.

Results:

Both cases were treated successfully by laparoscopy-assisted vaginal cornual resection. Hemostasis and uterine repair seem to be easier by the laparoscopy-assisted vaginal route than by the purely laparoscopic approach. No similar case has been reported in the literature.

Conclusions:

Our experience suggests that laparoscopy-assisted vaginal cornual resection may be a preferable alternative to laparoscopy in treating a large interstitial pregnancy. More studies are needed to confirm this finding.