Different treatment modalities and outcomes in cesarean scar pregnancy: a retrospective analysis of 31 cases in a unıversity hospital
- Resource Type
- Authors
- Nergis Duzok; Isil Kasapoglu; Adnan Orhan; Bilge Çetinkaya Demir; Gürkan Uncu; Kemal Özerkan
- Source
- Ginekologia polska. 90(6)
- Subject
- Adult
Pediatrics
medicine.medical_specialty
animal structures
Turkey
Cesarean Scar Pregnancy
complex mixtures
Dilatation and Curettage
Hospitals, University
03 medical and health sciences
Cicatrix
Young Adult
0302 clinical medicine
Postoperative Complications
Pregnancy
parasitic diseases
medicine
Retrospective analysis
Humans
Retrospective Studies
Abortifacient Agents, Nonsteroidal
030219 obstetrics & reproductive medicine
business.industry
Cesarean Section
fungi
Uterus
Obstetrics and Gynecology
Treatment options
Guideline
University hospital
medicine.disease
Combined Modality Therapy
Pregnancy Complications
Methotrexate
Treatment Outcome
Treatment modality
Gestation
Female
business
- Language
- ISSN
- 2543-6767
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.