Resectoscopic treatment of ectopic pregnancy in previous cesarean delivery scar defect with vasopressin injection

Objective: To describe resectoscopic treatment with vasopressin injection as an effective surgical intervention for ectopic pregnancy in previous cesarean delivery scar (PCDS) defect. Design: Case report. Setting: University hospital. Patient(s): Two women with ectopic pregnancy in PCDS defect. Intervention(s): The patients underwent transvaginal ultrasound examination, followed by operative hysteroscopy with vasopressin injection for evacuating the ectopic pregnancy in PCDS defect. Main Outcome Measure(s): Conservation of the uterus. Result(s): Successful resectoscopic treatment of ectopic pregnancy in PCDS defect. Conclusion(s): Resectoscopic treatment of ectopic pregnancy in PCDS defect is a safe and efficient technique that has the advantage of a rapid return to normal levels of beta-hCG. Intracervical vasopressin administration could decrease intraoperative bleeding and provide a clear view during the operation. (Fertil Steril (R) 2011; 96: e80-2. (C) 2011 by American Society for Reproductive Medicine.)