Ansari, Ammara, Ahmad, Sarfraz, James, Jeffrey A., Jeppson, Corinne N., Holloway, Robert W.
abstract
BACKGROUND: Interstitial or cornual ectopic pregnancy is an uncommon variant of ectopic pregnancy. Herein we describe the first robotic-assisted laparoscopic resection of a cornual ectopic pregnancy and review the relevant peer-reviewed English literature involving minimally invasive surgery for this condition. CASE: A 37-year-old woman, G3, P2, presented to the emergency room with an 8.5week, 4.5-cm cornual ectopic pregnancy and underwent a of cornual pregnancy was feasible and was associated with minimal blood loss, aided with the use of an endoscopic vascular clamp and intramural vasopressin. successful robotic-assisted surgical excision and repair without complications. The technical description of the robotic-assisted laparoscopic cornual resection and uterine repair is presented. Thirteen peer-reviewed literature citations involving 183 cases of laparoscopic management of cornual ectopic pregnancy were identified from the year 1988 to the present, and are discussed herein. CONCLUSION: Robotic-assisted laparoscopic resection of cornual pregnancy was feasible and was associated with minimal blood loss, aided with the use of an endoscopic vascular clamp and intramural vasopressin.