AUTHOR=Manea Cristina , Pavlidou Evangelia , Urias Aline Andrey , Bouquet de la Jolinière Jean , Dubuisson Jean Bernard , Feki Anis 

TITLE=Laparoscopic Management of Interstitial Pregnancy and Fertility Outcomes after Ipsilateral Salpingectomy – Three Case Reports

JOURNAL=Frontiers in Surgery

VOLUME=Volume 1 - 2014

YEAR=2014

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2014.00034

DOI=10.3389/fsurg.2014.00034

ISSN=2296-875X

ABSTRACT=Background. Interstitial pregnancy after ipsilateral salpingectomy is a rare event with <br/>potentially serious consequences. Optimal management strategy remains uncertain <br/>and debated. In addition, fertility sparing is determinant of the treatment choice. <br/>Cases. Here we report three cases of interstitial pregnancy occurring after homolateral <br/>salpingectomy. We expose the therapeutic option held in all three situations, which <br/>associated laparoscopic procedure followed by intramuscular methotrexate injection, <br/>with successful outcome for all patients. We also report the fertility outcome for the <br/>first patient, discussing the timing and mode of delivery. Cesarean section at term was <br/>performed for this patient. Conclusion. In these three situations we obtained a <br/>successful result using a minimally invasive surgical approach combined with <br/>systemic methotrexate injection. Cesarean section at term for subsequent intrauterine <br/>pregnancy seems to be the safest delivery strategy, although no clear data exist in <br/>literature. <br/>