Interstitial (Cornual) Ectopic Pregnancy: Laparoscopic Management

Objective: The goal of this article, and its accompanying figure and video, is to review laparoscopic management of interstitial pregnancy, using both cornual resection and cornuostomy techniques. The text, figure, and video focus on 2 cases demonstrating, step-by-step, laparoscopic management of interstitial pregnancy using cornual resection and cornuostomy techniques. Methods: Case 1 involves a cornuostomy in a patient with a right, interstitial ectopic pregnancy identified through diagnostic laparoscopy using an Endoloop® (Ethicon/Johnson & Johnson Surgical Technologies, Somerville, NJ, USA). Case 2 is a laparoscopic wedge resection, using an Endoloop and a LigaSuretm (Medtronic, Minneapolis, MN, USA) device to address a ruptured, advanced-gestation, interstitial ectopic pregnancy. Results: Cornual resection and cornuostomy are both minimally invasive techniques that were effective interventions for these 2 interstitial ectopic pregnancies. Conclusions: While the open method is commonly used, emerging laparoscopic methods, such as cornual resection and cornuostomy, are minimally invasive with the added benefit of fertility preservation. (J GYNECOL SURG 20XX:000)