title: Transvaginal removal of ectopic pregnancy tissue and repair of uterine defect for caesarean scar pregnancy.
abstract: From December 2009 to April 2010, six patients with caesarean scar pregnancies (CSPs) underwent the transvaginal removal of ectopic pregnancy tissue and repair of a uterine defect. Transvaginal surgery was performed uneventfully in all cases. The operating time ranged from 45 to 80 minutes. Blood loss ranged from 50 to 150 ml. Serum β-hCG (β-subunit of human chorionic gonadotrophin) levels declined to normal levels within a month for all patients, and all patients recovered without complications. Our results show that the transvaginal removal of ectopic pregnancy tissue and repair of the uterine defect is effective, safe, and minimally invasive for patients with CSP.
authors.affiliation: Department of Obstetrics and Gynaecology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. hemian@mail.sysu.edu.cn
authors.forename: M
authors.initials: M
authors.lastname: He
authors.forename: M-H
authors.initials: MH
authors.lastname: Chen
authors.forename: H-Z
authors.initials: HZ
authors.lastname: Xie
authors.forename: S-Z
authors.initials: SZ
authors.lastname: Yao
authors.forename: B
authors.initials: B
authors.lastname: Zhu
authors.forename: L-P
authors.initials: LP
authors.lastname: Feng
authors.forename: Y-P
authors.initials: YP
authors.lastname: Wu
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D002585:Cesarean Section; D006063:Chorionic Gonadotropin / Q000097:blood; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*; D014599:Uterus / Q000601:surgery*
chemical_list: D006063:Chorionic Gonadotropin