Treatment of Cornual Heterotopic Pregnancy via Selective Reduction without Feticide Drug

Study Objective: To treat heterotopic pregnancy with a minimally invasive procedure, absent a feticide drug. Design: Retrospective study (Canadian Classification III). Setting: University-affiliated hospital, center of reproductive medicine, department of obstetrics and gynecology, central south university, Changsha Hunan China. Patients: A total of nine patients' diagnosed cornual heterotopic pregnancy resulted from assisted reproduction technology. Among nine, five patients selected the cornual embryo reduction. Interventions: Cornual embryo reduction and preservation of intrauterine embryo were done under guidance of transvaginal ultrasonography at 4-6 weeks after embryo transfer. No drug was given. Measurements: Safety of operative procedure and pregnancy outcome. Main Results: All five patients who underwent selective embryo reduction has no intraoperative or postoperative complication, however 3 of them delivered healthy babies while two aborted. Conclusion: An early intervention should be carried in vital stable patients by means of puncturing and aspirating cornual heterotopic pregnancy under transvaginal ultrasound guidance. Journal of Minimally Invasive Gynecology (2011) 18, 766-768 (C) 2011 AAGL. All rights reserved.