A case of cervical pregnancy, successfully preserved uterus by Two-step hysteroscopic surgery.

Ectopic pregnancy accounts for 1-2% of all pregnancies; however, cervical is extremely rare and occurs in <1% cases ectopic pregnancies. Reportedly, women with may occasionally develop significant hemorrhage during the early stage pregnancy; bleeding difficult to control owing careless intracervical curettage, necessitating blood transfusion or total hysterectomy. Following development novel diagnostic imaging modalities recent years, can be diagnosed at an stage, uteruspreserving conservative treatment currently common therapeutic approach used this condition. However, date, definitive protocol remains unclear, individualized therapy necessary. In case, we performed two-step hysteroscopic surgery using a small-diameter hysteroscope resectoscope management woman whom systemic administration methotrexate did not induce spontaneous abortion. We report case successful without hysterectomy massive bleeding. Smalldiameter hysteroscopy dilation (which increases risk bleeding) enables accurate visualization target lesions, as well use various instruments including scissors, grasping forceps, bipolar electrodes necessary operative procedure. The provides clear view surgical field ensures adequate hemostasis. conclude that technique facilitates safer advantages offered by aforementioned instruments.