Transvaginal hysterotomy for cesarean scar pregnancy in 40 consecutive cases

Gynecological Surgery
Zhang HuanxiaoYao Shuzhong

Abstract

To propose a novel procedure as a safe and effective treatment for cesarean scar pregnancy (CSP), a cohort study was initiated in patients diagnosed with CSP and treated with transvaginal hysterotomy from December 2009 to March 2013, either as a primary or secondary therapy. All diagnoses were confirmed by both sonography and pathology, either a gestational sac or residual tissue after termination of pregnancy or miscarriage in the cesarean section scar. Basic clinical characteristics and perioperative data were collected and analyzed. A total of 40 patients were included. The mean age was 32.88 ± 4.55 years. The mean size of gestational sacs of the CSP mass at diagnosis was 33.78 ± 13.14 mm. Mean serum β-hCG level at diagnosis was 47379.73 ± 45285.10 IU/L. Mean operative time was 57.25 ± 24.52 min. Mean postoperative hemoglobin drop was 1.635 ± 0.906 g/dL. Complications were one case of bacteremia and two cases of hematoma. Mean hospital stay after surgery was 4.95 ± 2.62 days. Mean serum β-hCG levels decreased by 88.5, 93.5, and 96.5 % at postoperative day 2, 4, and 6, respectively. All patients' β-hCG levels returned to normal range within 1 month after surgery. Transvaginal hysterotomy with removal of ectopic pregnancy tiss...Continue Reading

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Citations

Jan 23, 2016·Fertility and Sterility·Kathrine Birch PetersenHenriette Svarre Nielsen
Nov 3, 2015·Taiwanese Journal of Obstetrics & Gynecology·Qiao WangXia Zhao
Oct 19, 2016·Taiwanese Journal of Obstetrics & Gynecology·Zhen-Bo OuYangSong Quan
Mar 21, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ying-Cheng ChiangJin-Chung Shih
Mar 8, 2017·Journal of Minimally Invasive Gynecology·Natalia Gonzalez, Togas Tulandi
Jun 11, 2017·Journal of Minimally Invasive Gynecology·Sarah Maheux-LacroixJason Abbott
Jun 7, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Qiu-Lei SunZheng-Qiong Chen
Feb 6, 2017·The Journal of Obstetrics and Gynaecology Research·Hongwen ZhangTian Gao
Jul 4, 2020·Current Opinion in Obstetrics & Gynecology·Lucy LiuTimothy A Deimling
Jun 1, 2018·Obstetrical & Gynecological Survey·Tanya L GlennSteven R Lindheim
Dec 17, 2020·Journal of Minimally Invasive Gynecology·Kaixian DengYuhua Zheng

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Methods Mentioned

BETA
cesarean section
cesarean sections
hysterectomy

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