Laparoscopic Treatment of Primary Ovarian Pregnancy

Organ-preserving management of ovarian pregnancies by laparoscopic approach

“…Because the localization of early symptoms of an ovarian gravidity are unspecific but due to the extraordinary vascularization of the ovary, early diagnosis is important to avoid severe cases of emergency. Preoperative diagnosis of ovarian pregnancy is difficult, because the clinical findings are similar to those of tubal pregnancy, hemorrhagic ovarian cyst, endometrioma, and other pelvic disease (19)(20)(21)(22)(23). Nevertheless, early differential diagnosis by TVS has been described (1, 2, 15, 16, 24-26).…”

“…More recently, more conservative ovarian surgery, such as cystectomy or wedge resection, at both laparotomy and laparoscopy, has been successfully established (2,4,19,(30)(31)(32). The desire to maintain reproductive capability led to the ovarian-preserving operational technique.…”