Resection of Left Cornual Ectopic Pregnancy by Ultrasonically Activated Scalpel.

A patient presenting with clinical signs of hemoperitoneum and a positive pregnancy test underwent diagnostic laparoscopy. Findings included an absent left fallopian tube with a partially ruptured cornual pregnancy. The cornua was resected with minimal bleeding using the ultrasonically activated scalpel and closed with extracorporeal sutures. It is concluded that ultrasonically activated scalpel provides excellent hemostasis for procedures likely to cause heavy bleeding, without attendant risk to adjacent myometrium or other pelvic structures.