![]() ![]() ![]() The risk of that may be reduced by elective uterine artery embolization (UAE) prior to surgery, which we applied in two consecutive cases with high vascularization on ultrasound. The most common complication remains hemorrhage. Interstitial pregnancies (IP) can be treated medically or surgically. Because of these features, Endoloop appears to be a suitable option for the laparoscopic management of IPs, both in elective and emergency settings. In our case series, the Endoloop technique showed excellent treatment outcomes in terms of effectiveness, blood loss, operative time, recovery and post-procedure fertility. Cornual resection or excision is the most commonly performed procedure. Laparoscopy has become the gold standard surgical approach for IP. Fertility sparing surgery with cornuectomy by Endoloop ligature technique demonstrated low mean operating time and blood loss, and allowed the quick recovery and discharge of all patients. IP diagnosis was confirmed at two and three-dimensional ultrasound and laparoscopy in all cases. In this paper we describe the advantages of cornual resection performed using the Endoloop technique and present three patients who were successfully treated using this approach. Surgery is considered the most definitive treatment for IPs, although there is no clear consensus regarding the optimal approach. Interstitial pregnancy (IP) occurs within the intramural portion of the tube and accounts for 2% of ectopic pregnancies.
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