Successful treatment of ruptured interstitial pregnancy with laparoscopic surgery. A report of 2 cases.

BACKGROUND: Laparoscopic surgery is generally considered contraindicated in women with ruptured interstitial pregnancy as it is associated with profound bleeding and hypovolemic shock.

CASES: Two cases of ruptured interstitial pregnancy were treated with laparoscopic surgery. Laparoscopic cornuostomy and removal of products of conception were performed in 1 case and laparoscopic cornual resection in the other. Laparoscopic tubal occlusion performed 4 and 6 months later showed the cornu region to be well healed in both cases.

CONCLUSION: With increasing experience with the laparoscopic technique, ruptured interstitial pregnancy can be managed safely and successfully with laparoscopic surgery.