Hysteroscopic surgery of ectopic pregnancy in the cesarean section scar.
OBJECTIVE
To evaluate the effect of hysteroscopy in the treatment of caesarean section scar pregnancy.


METHODS
Retrospective review.


METHODS
Thirty-nine patients with cesarean scar pregnancy.


METHODS
Between January 2006 and June 2008, 39 patients with caesarean section scar pregnancy underwent hysteroscopic removal of conceptive tissues in our department. Their medical records were reviewed retrospectively.


RESULTS
The diagnosis was confirmed by serum human chorionic gonadotropic concentration and at ultrasonographic or magnetic resonance imaging. All patients underwent hysteroscopic removal of conceptive tissues under ultrasonographic guidance. Before surgery, 36 patients received 25 mg of oral mifepristone, 25 mg, twice a day for 3 days, and 3 patients received an injection of methotrexate salt, 50 mg, and underwent preoperative bilateral uterine artery embolization. Results were reported as good in 37 patients; only 2 patients required additional surgery.


CONCLUSIONS
Hysteroscopic removal of conceptive tissues implanted in a cesarean section scar seems to be a feasible and safe procedure that might be considered as a treatment option.
Yang
Qing
Q
Department of Obstetrics and Gynecology, Shengjing Hospital, China Medical University, Shenyang 110004, China. yangq@sj-hospital.org
Piao
Shuhua
S
Wang
Guangwei
G
Wang
Yu
Y
Liu
Chunyan
C
D000019:Abortifacient Agents / Q000627:therapeutic use; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications / Q000601:surgery*; D003475:Curettage; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008727:Methotrexate / Q000627:therapeutic use; D015735:Mifepristone / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods*; D012189:Retrospective Studies; D018084:Ultrasonography, Interventional; D055357:Uterine Artery Embolization; D055815:Young Adult
D000019:Abortifacient Agents; D015735:Mifepristone; D008727:Methotrexate