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Sponsored by the Center for Science and Technology Development of the Ministry of Education
Supervised by Ministry of Education of the People's Republic of China
Background: Ectopic pregnancy in a previous caesarean section scar is rarely reported. And it is very difficult to manage it. There have been only 12 cases were successfully managed under laparoscopy to date. Cases: Two females were admitted to our hospital and were suspected suffering from ectopic pregnancy in a previous caesarean section scar under the impression of Doppler ultrasound. Conservative regimen was first applied to one patient but failed to demonstrate enough efficacy. The β-HCG of the other patient was extremely high so conservative treatment was not considered. Then laparoscopic surgery was performed for the two patients and not only confirmed the diagnosis but also removed the ectopic gestational products successfully. The operation under laparoscopy was very smoothly. Total operation time was 80 minutes, blood loss was only about 100ml and blood transfusion was not necessary. Conclusion: It seems that for a skilled surgeon, laparoscopy may be a sound and reasonable technique to diagnose and resect ectopic pregnancy within a caesarean scar.