Ectopic Pregnancy Following Laparoscopic-Assisted Vaginal Hysterectomy in Tubectomised Women

Pearl without Oyster; Pregnancy without Uterus!

“…2 Such fistulisation in turn can be favoured by the presence of haematomas or pelvic infections in the region of the vaginal vault. Another mechanism that could favour ectopic pregnancy is Fallopian tube prolapse into the vagina, thereby creating a vaginal-tubal communication that is more common following vaginal hysterectomies 4 .…”

“…There is no report in the literature that laparoscopic hysterectomies increase the risk of ectopic pregnancies in future. 2 Early presentations could be prevented with adequate contraception before hysterectomy or by avoiding surgery in the luteal phase. 8 In late presentations, the frequency of ectopic pregnancies could be reduced by doing salpingectomy along with hysterectomy, careful vaginal cuff sealing, keeping the adnexal areas at a distance, and covering with peritoneum.…”

“…Early ectopic pregnancies (56%) are more common than late ectopic pregnancies (44%). 2 Ectopic pregnancy can occur after any type of hysterectomy and the patient may present with acute abdomen. 1 These patients often land up in medical or surgical departments leading on to delay in making a diagnosis.…”