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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (5): 1044-1047    DOI: 10.31083/j.ceog4805167
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Transumbilical single-hole laparoscopic treatment of cesarean scar pregnancy by uterine artery pre-ligation: a report of 4 cases
Xin Du1, 2, *(), Qian Zou1, Yu-Lan Liu1
1Department of Gynecology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, 430070 Wuhan, Hubei, China
2Hubei Provincial Key Laboratory of Occupational Hazard Identification and Control, Wuhan University of Science and Technology, 430065 Wuhan, Hubei, China
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Abstract  
Background: To explore the safety and feasibility of transumbilical single-hole laparoscopic treatment of cesarean scar pregnancy (CSP) by uterine artery pre-ligation. Methods: Four cases with type II or III CSP were collected. Under transumbilical single-hole laparoscope, an active knot was first made around the uterine artery. If excessive bleeding occurred, the active knot was tightened to control intraoperative bleeding. Excessive bleeding was defined as more than 50 mL of bleeding within 2 min that failed to respond to electrocoagulation. Results: The active knot was tightened in two of the four cases. Overall, the mean intraoperative bleeding was 175.00 ± 155.456 mL, mean operation duration was 171.00 ± 17.455 min, mean postoperative hospitalization was 4.50 ± 0.577 days, and the mean time required for postoperative serum β-HCG to return to normal level was 27.50 ± 5.196 days. Menstruation recovered in 40.25 ± 16.112 days after operation, while postoperative menstrual volume was less in one case and otherwise normal. Conclusions: For the treatment of type II or III CSP, transumbilical single-hole laparoscope combined with uterine artery pre-ligation can accurately control and reduce intraoperative bleeding in place of uterine artery embolization. This treatment regimen is safe and may obtain better abdominal appearance.
Key words:  Cesarean scar pregnancy      Single-hole laparoscope      Uterine artery pre-ligation     
Submitted:  15 November 2020      Revised:  24 December 2020      Accepted:  14 January 2021      Published:  15 October 2021     
Fund: 
WJ2019H190/Health commission of Hubei Province scientific research project
*Corresponding Author(s):  Xin Du     E-mail:  dongxin@hbfy.com

Cite this article: 

Xin Du, Qian Zou, Yu-Lan Liu. Transumbilical single-hole laparoscopic treatment of cesarean scar pregnancy by uterine artery pre-ligation: a report of 4 cases. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1044-1047.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog4805167     OR     https://ceog.imrpress.com/EN/Y2021/V48/I5/1044

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