title: Managing Caesarean Scar Pregnancy in low Resource Settings: 2 Case Reports and a Description of Transrectal Ultrasound guided Surgical Approach (TRUGA).
abstract: Caesarean scar pregnancy (CSP) occurs when an embryo implants in a previous caesarean section scar. It has a reported incidence of 1 in 1800. Various surgical and medical techniques have been described in case reports for the management of CSP. These techniques are usually undertaken in tertiary level units with significant resource availability. In this paper, we present a new clinical perspective for the management of CSP in low resource settings and describe the steps involved in a transrectal ultrasound guided approach with dilatation of uterine cervix and subsequent evacuation of uterine contents (TRUGA with D&C).
authors.forename: Uche A
authors.initials: UA
authors.lastname: Menakaya
authors.forename: Tihomir
authors.initials: T
authors.lastname: Djordjic
authors.forename: Rhett
authors.initials: R
authors.lastname: Morton
authors.forename: Sarah
authors.initials: S
authors.lastname: Crook
authors.forename: Bruno
authors.initials: B
authors.lastname: Giorgio
authors.forename: Fernando
authors.initials: F
authors.lastname: Infante
authors.forename: George
authors.initials: G
authors.lastname: Condous
mesh_terms: D000328:Adult; D001003:Anal Canal; D002585:Cesarean Section; D002921:Cicatrix; D004107:Dilatation and Curettage / Q000379:methods*; D019160:Endosonography / Q000379:methods*; D005260:Female; D006295:Health Resources; D006801:Humans; D009215:Myometrium; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery*; D025321:Surgery, Computer-Assisted