Management of ectopic pregnancy through a posterior colpotomy: two cases.

BACKGROUND

Prior to the availability of modern laparoscopic surgical techniques and equipment, ectopic pregnancy was managed predominately by laparotomy. An alternative surgical approach, by posterior colpotomy, was advocated as a diagnostic and a therapeutic approach that often avoided laparotomy.

CASES: We report two recent cases in which ectopic pregnancies were managed by posterior colpotomy to avoid any scars on the abdomen. One case involved a salpingectomy and the other a salpingostomy.

CONCLUSION

Posterior colpotomy is a safe, cost-effective, and time efficient method of managing ectopic pregnancy.