title: Laparoscopic surgery for ectopic pregnancy within a cesarean scar.
abstract: BACKGROUND
  Ectopic pregnancy in a previous cesarean section scar is rarely reported, and is very difficult to manage. There are only 12 cases to date that have been successfully managed under laparoscopy.
  
  
  METHODS
  Two females were admitted to this Hospital and were suspected to suffer from ectopic pregnancy from a previous cesarean section scar under the impression of Doppler ultrasound. Conservative regimen was first applied to one patient but failed to demonstrate enough efficacy. The beta-human chorionic gonadotropin (beta-HCG) of the other patient was extremely high, therefore conservative treatment was not considered. Then laparoscopic surgery was performed for the two patients and not only confirmed the diagnosis, but also successfully removed the ectopic gestational products. Surgery under laparoscopy was uneventful. Total surgical time was 80 minutes, blood loss was only about 100 ml, and blood transfusion was not necessary.
  
  
  CONCLUSIONS
  It seems that for a skilled surgeon, laparoscopy may be a sound and reasonable technique to diagnose and resect ectopic pregnancy within a cesarean scar.
authors.affiliation: Department of Obstetrics and Gynecology, Wuxi Maternity and Child Health Care Hospital, Wuxi City, Jiangsu, China.
authors.forename: S
authors.initials: S
authors.lastname: Jiang
authors.forename: S
authors.initials: S
authors.lastname: Zhao
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D002585:Cesarean Section; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D002824:Chorionic Villi / Q000473:pathology; D002921:Cicatrix / Q000473:pathology*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000473:pathology / Q000601:surgery*; D016216:Ultrasonography, Prenatal
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human