- To review the incidence and pathophysiology of abdominal ectopic pregnancies, as well as diagnosis and treatment options
- To propose a systematic surgical approach for laparoscopic identification and management of abdominal ectopic pregnancy
Design: Video case report
Setting: Operating room
Patients or Participants: 1 patient
Interventions: Systematic surgical approach for laparoscopic identification and management of abdominal ectopic pregnancy
Measurements and Main Results: We developed a 6-step surgical approach to laparoscopic identification of abdominal ectopic pregnancy, demonstrated in this video. We also demonstrate a case of successful laparoscopic identification and excision of an abdominal ectopic pregnancy implanted on the omentum.
Conclusion: The rarity and high morbidity of abdominal ectopic pregnancies requires early recognition and intervention. Our stepwise surgical approach, including systematic abdominal survey and intraoperative patient repositioning, is a useful technique for identifying and appropriately managing abdominal ectopic pregnancy.
Hojabri, SF*1, Dada, J1, Kobylianskii, A2, McGrattan, MA3, Jacobson, MR4, Edwards, DL5. 1Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada; 2Mt. Sinai Hospital & Women’s College Hospital, Toronto, ON, Canada; 3Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada; 4Obstetrics and Gynecology, Mount Sinai Hospital, Toronto, ON, Canada; 5Obstetrics and Gynecology, Scarborough Health Network, Toronto, ON, Canada
