title: Hysteroscopic surgery of ectopic pregnancy in the cesarean section scar.
abstract: 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.
authors: Department of Obstetrics and Gynecology, Shengjing Hospital, China Medical University, Shenyang 110004, China. yangq@sj-hospital.org
authors: Qing
authors: Q
authors: Yang
authors: Shuhua
authors: S
authors: Piao
authors: Guangwei
authors: G
authors: Wang
authors: Yu
authors: Y
authors: Wang
authors: Chunyan
authors: C
authors: Liu
mesh_terms: 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
chemical_list: D000019:Abortifacient Agents; D015735:Mifepristone; D008727:Methotrexate