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.