title: Transvaginal Surgical Management of Cesarean Scar Pregnancy II (CSP-II): An Analysis of 25 Cases.
abstract: BACKGROUND
  The aim of this study was to investigate the feasibility and clinical value of transvaginal surgical treatment for cesarean scar pregnancy (CSP-II).
  
  
  METHODS
  This study was a retrospective analysis of 25 CSP-II patients who received transvaginal surgical treatments. These patients were admitted in our hospital between January 2010 and June 2012.
  
  
  RESULTS
  All surgical treatments were successful without overt complications. The average operation time was 61.5 minutes, the average intraoperative blood loss was 60.5 ml, the average hospital stay was 9.4 days and the average time that blood β-human chorionic gonadotropin (β-HCG) returned to normal range was 15 days. In all 25 patients, the cesarean scar mass located at the anterior wall of the lower uterine segment disappeared by B-ultrasound examination within 1 or 2 weeks after surgery. Postoperatively, the normal menstrual period started again with an average time of 28.9 days. No menstruation-related abnormalities, such as menstrual dripping or an abnormal amount of blood, were reported after surgery.
  
  
  CONCLUSIONS
  Transvaginal surgery for CSP-II is a novel surgical approach. It has several advantages, including a thorough one-time treatment lesion clearance, short operation time, minimized trauma, minimal intraoperative blood loss, quick reduction of blood β-HCG, and rapid menstruation recovery. It is a simple and feasible surgical approach of great clinical value and few treatment-related complications.
authors.affiliation: Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China (mainland).
authors.forename: Hui
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China (mainland).
authors.forename: Junrong
authors.initials: J
authors.lastname: Shi
authors.affiliation: Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China (mainland).
authors.forename: Yong'An
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China (mainland).
authors.forename: Yijuan
authors.initials: Y
authors.lastname: Liang
authors.affiliation: Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China (mainland).
authors.forename: Xinping
authors.initials: X
authors.lastname: Gao
authors.affiliation: Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China (mainland).
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China (mainland).
authors.forename: Hui
authors.initials: H
authors.lastname: Liu
authors.affiliation: Department of Ophthalmology, Baotou Eighth Hospital, Baotou, Inner Mongolia, China (mainland).
authors.forename: Bingge
authors.initials: B
authors.lastname: Wu
authors.affiliation: Department of Obstetrics and Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China (mainland).
authors.forename: Jinhui
authors.initials: J
authors.lastname: Zhao
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D002585:Cesarean Section / Q000009:adverse effects*; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D061646:Operative Time; D010343:Patient Admission; D011183:Postoperative Complications / Q000209:etiology; D011184:Postoperative Period; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human