Suction curettage as first line treatment in cases with cesarean scar pregnancy: feasibility and effectiveness in early pregnancy
| Autor: | Ali Gedikbasi, Ali Ekiz, Deniz Kanber Acar, Başak Kaya, İbrahim Polat, Burak Özköse, Hasan Talay, Cagdas Ozdemir |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Gestational Age Cesarean Scar Pregnancy Hysterectomy Cicatrix Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans 030212 general & internal medicine Hysterotomy Retrospective Studies Vacuum aspiration 030219 obstetrics & reproductive medicine Ectopic pregnancy Cesarean Section Obstetrics business.industry Obstetrics and Gynecology medicine.disease Curettage Pregnancy Ectopic Surgery Parity Suction curettage Methotrexate Treatment Outcome Vacuum Curettage Pediatrics Perinatology and Child Health Feasibility Studies Gestation Female business Abortion Eugenic medicine.drug |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 29:1066-1071 |
| ISSN: | 1476-4954 1476-7058 |
| Popis: | A cesarean scar pregnancy (CSP) is an extremely rare form of an ectopic pregnancy, which is defined as the localization of a fertilized ovum surrounded by uterine muscular fiber and scar tissue. The objective of this study was to discuss the management options for CSPs in a singleton center. In the current study, we discussed the current management options for CSPs based on our 6 years of experience.A retrospective evaluation of diagnosed and treated 26 patients with CSPs in Istanbul Kanuni Sultan Suleyman Training and Research Hospital during a 6-year period was discussed. Suction curettage was performed as first-line treatment in patients with a gestation8 weeks and myometrial thickness2 mm.Twenty-two (84.6%) patients with CSPs were initially treated surgically (curettage and hysterotomy) and four (15.4%) patients were treated medically with methotrexate injections. Vacuum aspiration was performed in 19 patients as a first-line treatment, six of them needed an additional Foley balloon catheter to be inserted for tamponade because of persistent vaginal bleeding. Suction curettage was successful in 12 patients. The treatment rate for suction curettage with or without Foley balloon catheter tamponade was 16 of 19 (84.2%).The early diagnosis of a CSP (7-8 weeks gestation) with a β-hCG level17.000 mIU/ml and a myometrial thickness2 mm can be treated with suction curettage with or without placement of a uterine Foley balloon as curative treatment. |
| Databáze: | OpenAIRE |
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