A novel surgical treatment for cesarean scar pregnancy: laparoscopically assisted operative hysteroscopy.

Objective: To describe laparoscopically assisted hysteroscopy as a unique surgical intervention for a cesarean section scar ectopic pregnancy.

Methods: Case report. Methods: University hospital. Methods: A 44-year-old woman, pregnant at 5 weeks and 6 days' gestational age with a cesarean section scar ectopic pregnancy. Methods: The patient underwent serial transvaginal ultrasound examinations with Doppler flow studies, followed by a laparoscopically assisted operative hysteroscopy for evacuating the cesarean scar ectopic pregnancy. Methods: Conservation of the uterus, fertility preservation.

Results: Successful conservative surgical treatment of cesarean section scar ectopic pregnancy.

Conclusions: Conservative laparoscopically assisted operative hysteroscopy can be used successfully in hemodynamically stable patients with a cesarean section scar ectopic pregnancy.