Yu Chang1, Nari Kay, Yung Hung Chen, Hung Sheng Chen, Eing Mei Tsai. 1. Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Abstract
OBJECTIVE: To describe resectoscopic treatment with vasopressin injection as an effective surgical intervention for ectopic pregnancy in previous cesarean delivery scar (PCDS) defect. DESIGN: Case report. SETTING: University hospital. PATIENT(S): Two women with ectopic pregnancy in PCDS defect. INTERVENTION(S): The patients underwent transvaginal ultrasound examination, followed by operative hysteroscopy with vasopressin injection for evacuating the ectopic pregnancy in PCDS defect. MAIN OUTCOME MEASURE(S): Conservation of the uterus. RESULT(S): Successful resectoscopic treatment of ectopic pregnancy in PCDS defect. CONCLUSION(S): Resectoscopic treatment of ectopic pregnancy in PCDS defect is a safe and efficient technique that has the advantage of a rapid return to normal levels of β-hCG. Intracervical vasopressin administration could decrease intraoperative bleeding and provide a clear view during the operation.
OBJECTIVE: To describe resectoscopic treatment with vasopressin injection as an effective surgical intervention for ectopic pregnancy in previous cesarean delivery scar (PCDS) defect. DESIGN: Case report. SETTING: University hospital. PATIENT(S): Two women with ectopic pregnancy in PCDS defect. INTERVENTION(S): The patients underwent transvaginal ultrasound examination, followed by operative hysteroscopy with vasopressin injection for evacuating the ectopic pregnancy in PCDS defect. MAIN OUTCOME MEASURE(S): Conservation of the uterus. RESULT(S): Successful resectoscopic treatment of ectopic pregnancy in PCDS defect. CONCLUSION(S): Resectoscopic treatment of ectopic pregnancy in PCDS defect is a safe and efficient technique that has the advantage of a rapid return to normal levels of β-hCG. Intracervical vasopressin administration could decrease intraoperative bleeding and provide a clear view during the operation.