open access

Vol 90, No 6 (2019)
ORIGINAL PAPERS Gynecology
Published online: 2019-06-28
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Different treatment modalities and outcomes in cesarean scar pregnancy: a retrospective analysis of 31 cases in a unıversity hospital

Adnan Orhan, Işıl Kasapoğlu, Bilge Çetinkaya Demir, Kemal Özerkan, Nergis Duzok, Gürkan Uncu
DOI: 10.5603/GP.2019.0053
·
Pubmed: 31276180
·
Ginekol Pol 2019;90(6):291-307.

open access

Vol 90, No 6 (2019)
ORIGINAL PAPERS Gynecology
Published online: 2019-06-28

Abstract

Objectives: There is no standardized treatment modality or a generally accepted guideline in cesarean scar pregnancy (CSP) treatment. The aim of this study is to retrospectively evaluate the outcomes of the different treatment modalities used in CSP treatment. 

Material and methods: 31 CSP patients retrospectively evaluated between May 2011 and February at Uludag University Hospital in Bursa, Turkey included in the study. A graphical flowchart according to the treatment modalities and timeline graphics of the patients were used. Main outcome measures were recurrent CSPs and healthy pregnancies in clinical follow-up after a successful CSP treatment. 

Results: 31 CSP patients were treated with six different treatment modalities in our series. Recurrent CSP was diagnosed in three patients after a successful CSP treatment. All of these recurrent CSPs were treated with D/C procedure in their first CSP. Six patients conceived again in clinical follow-up after successful treatment of CSP. 

Conclusions: CSP is a serious maternal complication that risks the mother’s life, and this problem is growing because of the increased cesarean rates. Invasive procedures applied to the uterus in CSP treatment may cause recurrent CSP in the next pregnancy of the patient. When considering the treatment options of the CSP, minimally invasive treatment modalities and the subsequent gestation of the patient should be taken into account.

Abstract

Objectives: There is no standardized treatment modality or a generally accepted guideline in cesarean scar pregnancy (CSP) treatment. The aim of this study is to retrospectively evaluate the outcomes of the different treatment modalities used in CSP treatment. 

Material and methods: 31 CSP patients retrospectively evaluated between May 2011 and February at Uludag University Hospital in Bursa, Turkey included in the study. A graphical flowchart according to the treatment modalities and timeline graphics of the patients were used. Main outcome measures were recurrent CSPs and healthy pregnancies in clinical follow-up after a successful CSP treatment. 

Results: 31 CSP patients were treated with six different treatment modalities in our series. Recurrent CSP was diagnosed in three patients after a successful CSP treatment. All of these recurrent CSPs were treated with D/C procedure in their first CSP. Six patients conceived again in clinical follow-up after successful treatment of CSP. 

Conclusions: CSP is a serious maternal complication that risks the mother’s life, and this problem is growing because of the increased cesarean rates. Invasive procedures applied to the uterus in CSP treatment may cause recurrent CSP in the next pregnancy of the patient. When considering the treatment options of the CSP, minimally invasive treatment modalities and the subsequent gestation of the patient should be taken into account.

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Keywords

Cesarean scar pregnancy; treatment modalities; Morbidly adherent placenta

Supplementary Files (2)
Supplementary material-. 1Detailed treatments and follow-up definitions in cesarean scar pregnancies
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About this article
Title

Different treatment modalities and outcomes in cesarean scar pregnancy: a retrospective analysis of 31 cases in a unıversity hospital

Journal

Ginekologia Polska

Issue

Vol 90, No 6 (2019)

Pages

291-307

Published online

2019-06-28

DOI

10.5603/GP.2019.0053

Pubmed

31276180

Bibliographic record

Ginekol Pol 2019;90(6):291-307.

Keywords

Cesarean scar pregnancy
treatment modalities
Morbidly adherent placenta

Authors

Adnan Orhan
Işıl Kasapoğlu
Bilge Çetinkaya Demir
Kemal Özerkan
Nergis Duzok
Gürkan Uncu

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