Surgical Management of Interstitial Ectopic Pregnancy

53 Views | Sep 24, 2020

Authors: Caitlin Jago, Dong Bach Nguyen, Sukhbir Sony Singh

Affliations: University of Ottawa, The Ottawa Hospital

Management of interstitial ectopic pregnancy has traditionally been performed via cornual wedge resection. We present a minimally invasive approach using a four step process: (1) identify the location of the interstitial pregnancy, (2) utilize hemostatic measures such as vasopressin, vessel occlusion, or tranexamic acid, (3) create a circumferential linear incision over the specimen leaving a tissue pedicle, and (4) complete a double layer running closure for re-approximation and hemostasis.