20.500.12556/DiRROS-24768 Outpatient hysteroscopic treatment of cervical ectopic pregnancy in a primigravida using the Ho:YAG laser a case report and operative protocol evaluation Background and Clinical Significance: Cervical ectopic pregnancy (CEP) is a rare and potentially serious condition, in which the embryo implants within the cervical canal rather than the uterine cavity and is present in less than 1% of all ectopic pregnancies. There are different treatment options depending on the particular situation and the woman’s reproductive desire but conservative approaches as the first line of treatment is preferred in all cases and hysteroscopic resection of the fetus is one of these options. Several types of laser systems are available for use in hysteroscopic surgery, including neodymium:YAG (Nd:YAG) lasers, KTP and Argon lasers, as well as diode lasers. The holmium:YAG (Ho:YAG) laser, although more commonly used in urology due to its ability to cut, coagulate, and vaporize tissue, has gained interest in gynecologic procedures because of its precision and favorable safety profile. Case Presentation: We present the case of a 32-year-old woman, pregnant for the first time, who was diagnosed with CEP and successfully treated using a Ho:YAG laser during an outpatient hysteroscopic procedure. As far as we know, this is the first published case using this approach. Conclusions: The Ho:YAG laser is a proven tool for outpatient hysteroscopic procedures like septum and adhesion removal. Its ability to both cut and coagulate offers a minimally invasive, fertility-sparing option for managing cervical ectopic pregnancy. With the right patient and proper backup plans in place, this approach could be a promising alternative to more aggressive treatments. cervical ectopic pregnancy hysteroscopic resection holmium:YAG (Ho:YAG) laser true false true Angleški jezik Ni določen Neznano 2025-12-17 14:07:06 2025-12-17 14:07:06 2025-12-18 03:52:58 0000-00-00 00:00:00 2025 0 0 Nasl. z nasl. zaslona; Opis vira z dne 3. 9. 2025; str. 1-8 iss. 3 Vol. 6 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.1 2673-3897 10.3390/reprodmed6030021 247533315 RAZ_Cvetkov_Dimitar_2025.pdf RAZ_Cvetkov_Dimitar_2025.pdf 1 F63112245E3FB1FE2E05559299F468B6 6ecb18f92861981a8a7bce73a264c5a4c72cdf1fa834a1e57099d14409d1b217 65d9ba53-db49-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=37019 https://www.mdpi.com/2673-3897/6/3/21 1 4ace2048-db49-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=37018 Univerzitetni klinični center Ljubljana 0 0 0