Clear Lake
September 03, 2015

Webster, TX – Clear Lake Regional Medical Center recently performed the country’s first cesarean scar ectopic pregnancy surgery. Using the most advanced technology available, the da Vinci® Si Robotic Surgical System, surgeons can perform this delicate and complex operation that now allows patients the option of forging a hysterectomy.  

The surgery is a less invasive procedure for ectopic pregnancy patients facing the possibility of an open surgery. It offers a faster recovery time, less risk of infection, shorter hospital stay and smaller scar compared to open surgery.

First Cesarean Scar Ectopic Pregnancy Surgery

April McCool faced a rare and potentially life threatening ectopic pregnancy that implanted into the uterine scar of her prior cesarean delivery. McCool’s own life was at risk due to the uterus potentially rupturing if not treated immediately. Dr. John R. Crochet, Jr. with Center of Reproductive Medicine and Dr. Erwin Korman with Bay Area Advanced OB/GYN discussed treatment options with April that included medications, a hysterectomy or the cesarean scar ectopic pregnancy resection.

“April took intramuscular injections for a week before we decided to move forward with the surgery,” said Dr. Crochet. “Once we knew that surgery was our next step, we talked to April about a hysterectomy and the uterine-sparing surgery. Her choice was the robotic surgery because she understood the benefits of minimally invasive surgery, and she wanted the potential to have additional children in the future.”

“I am so grateful to Dr. Korman and Dr. Crochet. Having the option to forego a hysterectomy while facing this potentially life threatening situation was a blessing,” said April. “I was also able to resume daily activities a lot faster thanks to having had minimally invasive surgery.”

“The surgery was complex but we are very pleased with the results,” says Dr. Korman. “It did not require as much recovery time as open surgery would have and it helped us reach our goal of allowing April the opportunity to forgo a hysterectomy. We knew she was seeking a fertility preserving option, and we’re very happy that we were able to provide it for her.”

How It Works

During the procedure, the surgeon sits at a console and uses controls to operate the high-definition viewer to move the instrument arms and camera. The surgeon is 100% in control of the da Vinci® Si Robotic Surgical System during the procedure. In real-time, the system translates the surgeon’s hand, wrist and finger movements into more precise movements of the miniaturized instruments inside the patient. The special wristed instruments bend and rotate far greater than the human wrist. As a result, the robotic-assisted approach enables surgeons to operate with enhanced vision, precision, dexterity and control.

Clear Lake Regional Medical Center is proud to have performed over 2,000 robotic-assisted surgeries for a variety of cases including single-site hysterectomy, colon and rectal, general surgery, gynecological oncology, gynecology, obstetrics and gynecology, reproductive endocrinology and infertility and urologic surgery.

To learn more about surgical procedures or to schedule an appointment with a robotic-trained physician, please call 888-842-DOCS (3627) or visit and click on “Surgery.”

About Clear Lake Regional Medical Center
Clear Lake Regional Medical Center is a full-service hospital offering inpatient and outpatient medical, surgical and specialty services. The campus includes The Heart & Vascular Hospital, Breast Diagnostic Center, Wound Care Center, a level III Neonatal ICU, the area’s only Pediatric Emergency Department and Pediatric ICU, Level II Trauma Capabilities, Neuroscience Institute and a comprehensive range of services for patients of all ages. With a medical staff of more than 900, Clear Lake Regional Medical Center employs more than 2,100 medical professionals and has served the community for more than 42 years. In 2013, Clear Lake Regional Medical Center invested $92 million in an expansion and renovation project that enhanced services to better serve the Bay Area Houston community. For more information, call 281-332-2511 or visit For the latest news and updates, visit our website at or stay connected with us on Facebook and Twitter.

About HCA Gulf Coast Division
HCA Gulf Coast Division is a comprehensive network of hospitals, outpatient surgery centers, emergency centers and diagnostic imaging facilities.  It offers a complete continuum of specialized health programs and services that meet the needs of Greater Houston and South Texas’ residents and businesses.  HCA affiliated facilities in the Gulf Coast Division include: 13 hospitals, 8 ambulatory centers, 7 off-campus emergency centers, and a regional transfer center that provides one-phone-call access and support for patient transfers into and out of the HCA Gulf Coast Division Affiliated Hospitals, as well as access to ground and air transportation within a 150-mile radius.  For more information, visit our website at