title: Successful live births after surgical treatments for symptomatic cesarean scar pregnancies: report of 3 cases.
abstract: There is no current consensus on the best treatment modality for cesarean scar pregnancy (CSP) with favorable reproductive and pregnancy outcome. We treated 3 cases of symptomatic CSP with fetal cardiac activity. The first case underwent laparoscopic repair at 6 weeks' gestational age of unruptured CSP. The second patient underwent laparoscopic repair due to massive vaginal bleeding after suction curettage. Both patients conceived naturally 6 months later and underwent repeated cesarean section at term. These were successful live births although the second patient was treated with uterine artery embolization for postpartum hemorrhage. The last patient underwent emergency exploratory laparotomy due to ruptured CSP and delivered a preterm baby. Earlier surgical treatment of CSP is indicated for a subsequent successful pregnancy and live birth. The laparoscopic approach might be advisable prior to uterine rupture.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Ewha Womans University, Seoul, Korea.
authors.forename: Gayoung
authors.initials: G
authors.lastname: Yang
authors.forename: Daeun
authors.initials: D
authors.lastname: Lee
authors.forename: Sara
authors.initials: S
authors.lastname: Lee
authors.forename: Kyungah
authors.initials: K
authors.lastname: Jeong
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D050498:Live Birth; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000601:surgery*