Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (6): 911-914    DOI: 10.31083/j.ceog.2020.06.5471
Original Research Previous articles | Next articles
Laparoscopy combined with hysteroscopy for cesarean scar pregnancy
L.B. Liu1, H.T. Sun1, S.F. Liu1, *(), R.X. Shi1, *()
1The Second People’s Hospital of Changzhou, Nanjing Medical University, Changzhou, Jiangsu Province, 213000, P.R. China
Download:  PDF(1065KB)  ( 103 ) Full text   ( 6 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
Purpose: The aim of this study was to investigate the safety of combined laparoscopic surgery and hysteroscopic electrosurgery for partial repair of the cesarean scar and removal of the conceptus, respectively, in cesarean scar pregnancy (CSP). Methods: This was a retrospective analysis of data from 23 patients with CSP who underwent laparoscopic surgery together with hysteroscopic electrosurgery between January 2008 and January 2016 at our medical center. Under hysteroscopic visualization, the gestational sac and the complete cesarean section scar were cut by laparoscopic surgery. Results: Patient age was 28 ± 3.3 years (mean ± SD) with a range of 22-38 years. Patient gravidity was 3.0 ± 1.2 with a range of 1-6, while parity was 1.0 ± 1.5 with a range of 1-3. Intraoperative blood loss was 100.2 ± 32.7 mL (mean ± SD), operating time was 60 ± 48.6 min and the duration of hospitalization was 5 ± 1.2 days. Surgery was successful in all patients, with no instances of bladder injury. The level of β-human chorionic gonadotropin (β-HCG) began to decrease on the second postoperative day and returned to normal levels within one month of surgery. The mean time required for normalization of serum β-HCG levels was 25 ± 5.2 days (mean ± SD) with a range of 20-35 days. Conclusions: Laparoscopic surgery combined with hysteroscopic electrosurgery for partial repair of the cesarean scar and removal of the conceptus, respectively, is a safe, feasible and effective treatment approach for CSP.
Key words:  Cesarean scar pregnancy (CSP)      Laparoscopy      Hysteroscopy     
Submitted:  08 February 2020      Accepted:  28 May 2020      Published:  15 December 2020     
Fund: 

CJ20180074/ Changzhou Sci & Tech Program

2018K006/ the Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University

*Corresponding Author(s):  liusufen11978@126.com (SU-FEN LIU); rena63@live.cn (RU-XIA SHI)   

Cite this article: 

L.B. Liu, H.T. Sun, S.F. Liu, R.X. Shi. Laparoscopy combined with hysteroscopy for cesarean scar pregnancy. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 911-914.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.06.5471     OR     https://ceog.imrpress.com/EN/Y2020/V47/I6/911

[1] Alessandra Gallo, Attilio Di Spiezio Sardo, Antonietta Legnante, Romolo Di Iorio, Carlo De Angelis. Hysteroscopy in COVID-19 times[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1017-1021.
[2] Ranit Hizkiyahu, Shannon Salvador, Michael H. Dahan. Ovarian stimulation for fertility preservation in a woman with borderline serous ovarian tumor causing a large fluctuating subcutaneous fluid collection: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1215-1218.
[3] Üzeyir Kalkan, Murat Yassa, Kadir Bakay, Şafak Hatırnaz. Mechanical bowel preparation prior to gynaecological laparoscopy enables better operative field visualization, lower pneumoperitoneum pressure and Trendelenburg angle during the surgery: a perspective that may add to patient safety[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 842-850.
[4] Maurizio Nicola D'Alterio, Francesco Scicchitano, Daniela Fanni, Gavino Faa, Antonio Simone Laganà, Marco Noventa, Felice Sorrentino, Luigi Nappi, Stefano Angioni. Ex vivo myolysis with dual wavelengths diode laser system: macroscopicand histopathological examination[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 875-882.
[5] Basilio Pecorino, Giuseppe Scibilia, Placido Borzì, Maria Elena Vento, Pierfrancesco Veroux, Paolo Scollo. Diminished ovarian reserve and ectopic ovaries in patients with Mayer-Rokitansky-Küster-Hauser syndrome candidates for Uterus Transplantation: our experience[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 907-912.
[6] Rocio Montejo, Jonas Hermansson, Lena Sandin Wranker, Louise Danielsson. Doula support in office hysteroscopy: results from a pilot study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 955-961.
[7] Lin Ling, Juanjuan Fu, Lei Zhan, Wenyan Wang, Qian Su, Jun Li, Bing Wei. Surgical management for type II cesarean scar pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 555-560.
[8] Li-Min Zhou, Jie Duan, Yan Yang. Endoscopic treatment with concomitant ultrasound monitoring of obstructive septum in Robert's uterus following pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 711-714.
[9] Jun Xiong, Fen Fu, Wei Zhang, Ji Luo, Yuan-Yuan Xu, Lu-Lu Le, Xiao-Ju He. Study on influencing factors and related clinical issues in cesarean scar pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 365-371.
[10] M.S. Kim, E.D. Na, H.C. Kim, M. Kim, S.Y. Shin, M.H. Lee. Torsion of a rudimentary uterine horn with multiple leiomyomas in a case of Mayer-Rokitansky-Küster-Hauser syndrome[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 968-971.
[11] S.J. Liu, W. Lv, M. Shi, B.L. Bi, H.D. Wang. Hysteroscopic outcomes after radiofrequency ablation of myomas: Two case reports and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 991-993.
[12] M. Elmahdy, I. Elfourtia, H. Maghraby. Office hysteroscopy in cases of recurrent implantation failure; Do or not to do[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(5): 723-728.
[13] G. Garuti, E. Castellacci, S. Calabrese, S. Calzolari. Hysteroscopic removal of retained products of conception with enhanced vascularity: a study of reliability[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 472-477.
[14] S. B. Cohen, M. Shapira, A. Baron, J. Bouaziz, R. Mashiach, M. Goldenberg, R. Orvieto. Ultrasonography-guided hysteroscopic tubal catheterization of proximally occluded tubes - reproductive outcomes[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 872-875.
[15] A. Lavinia Cozlea, E. Előd Élthes, Á. Török, M. Emil Capîlna. Clinical presentation, risk factors and management of ectopic pregnancy: a case-control study[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 914-919.
No Suggested Reading articles found!