Design: Educational and information video of robotic resection and repair of a cesarean scar ectopic pregnancy
Setting: Single Academic Center
Patients or Participants: 23-year-old G2P1001 with history of one prior cesarean section presenting at 6w3d by LMP with vaginal bleeding
Interventions: The patient was consented for recording of the surgery. Pregnancy was confirmed to be eccentrically located in the lower uterine segment cesarean scar by transvaginal ultrasound. The Da Vinci robot was used for the surgery and its recording. The recording has been edited to adequately potray methods for ectopic pregnancy resection and repair.
Measurements and Main Results: The ectopic pregnancy was successfully resected and the hystereotomy was repaired. The surgery was uncomplicated, with minimal blood and patient was discharged hone same day. Surgical pathology confirmed pregnancy was ectopically located in cesarean scar.
Conclusion: Robotic approach is a safe and effective route for surgery for patients with cesarean scar ectopic pregnancies requiring surgical resection and repair.
Eleazu, R*1, Gray, L2, Moseley, T3, McGee, CM4, Nassif, J2. 1Department of Obstetrics & Gynecology, Baylor College of Medicine, Houston, TX; 2OBGYN, Baylor College of Medicine, Houston, TX; 3Baylor College of Medicine, Houston, TX; 4Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX