Background: Cesarean scar pregnancy (CSP), a rare type
of ectopic pregnancy, can lead to adverse pregnancy outcomes. However, there is
no uniform international treatment guideline for CSP. In this study, we
retrospectively analyzed the advantages and disadvantages of three different
surgical methods for type II CSP, trying to find the best treatment plan.
Methods: From January 2013 to December 2018, a retrospective analysis
was performed in 58 patients with type II CSP admitted to the Department of
Gynecology, Second Affiliated Hospital of Anhui Medical University. 20 patients
underwent hysteroscopic resection (Group A), 18 patients underwent laparoscopic
resection and repair (Group B), and 20 patients underwent vaginal resection and
repair (Group C). All patients were treated with preventive uterine artery
embolization (UAE) preoperatively. The clinical data were collected, and the
treatment effects of the different surgical methods were compared.
Results: Age, gravidity, parity, number of previous cesarean sections,
time period since the last cesarean section, menolipsis days, and preoperative
level of the beta-subunit of human chorionic gonadotropin (
Announcements
Open Access
Original Research
Surgical management for type II cesarean scar pregnancy
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1
Department of Gynaecology and Obstetrics, the Second Affiliated Hospital of Anhui Medical University, 230601 Hefei, Anhui, China
*Correspondence: happyforever_00@163.com (Bing Wei)
Clin. Exp. Obstet. Gynecol. 2021, 48(3), 555–560;
https://doi.org/10.31083/j.ceog.2021.03.2356
Submitted: 12 November 2020 | Revised: 27 January 2021 | Accepted: 3 February 2021 | Published: 15 June 2021
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Cesarean scar pregnancy (CSP)
Hysteroscopic surgery
Laparoscopic surgery
Transvaginal surgery
Funding
2019xkt040/Anhui Medical University
Figures
Fig. 1.