Design: Video demonstration of 2 surgical techniques.

Setting: High specialty hospital.

Patients or Participants: Videos of two surgeries performed on two patients with CSP were obtained.

Interventions: Case 1 29-year-old patient G2C1 with 7 weeks pregnancy. Diagnosis: CSP type IIa, with fetal cardiac activity. For which, it was decided to induce fetal asystole with hysteroscopic intragestational injection of potassium chloride (KCl) and intramyometrial injection of vasopressin, followed by operative resection of the pregnancy, and isthmocele repair. Twelve months later, she had an intrauterine pregnancy, cesarean section was performed at 38 weeks gestation.

Case 2 32-year-old patient G3C2 with 10.5 weeks pregnancy Diagnosis: CSP type IIb. Ultrasound revealed an increase in vascular flow in the implantation site, laparoscopic treatment was perfomed with hemostatic control with intramyometrial injection of vasopressin and temporary ligation of the uterine arteries using the technique of the removable "trick" knot, curettage, wedge resection of the pregnancy and isthmocele repair.

Measurements and Main Results: Video shows two surgical techniques used for laparoscopic management of CSP, which were completed successfully and without complications.

Conclusion: Laparoscopic conservative treatment of CSP in expert hands and with trained personnel has high success rates. It is necessary to carry out preventive measures to achieve good hemostasis such as intramyometrial injection of vasopressin and/or temporary ligation of uterine arteries, individualizing the case according to the vascular flow in the implantation site observed in the ultrasound, with the objective of reducing maternal morbidity and mortality, and preserving fertility.