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Comparative Study
. 2020 Dec;302(6):1375-1380.
doi: 10.1007/s00404-020-05800-2. Epub 2020 Sep 24.

Selection of a correct treatment protocol in caesarean scar pregnancies

Orhan Altınboğa  1 , Betül Yakıştıran  2 , Seyit Ahmet Erol  2 , Yüksel Oğuz  2 , Batuhan Bakırarar  3 , Cavidan Gülerman  2 , Şevki Çelen  2 , Ali Turhan Çağlar  2
Affiliations
Comparative Study

Selection of a correct treatment protocol in caesarean scar pregnancies

Orhan Altınboğa et al. Arch Gynecol Obstet. 2020 Dec.

Abstract

Objective: This study aims at assessing the effectiveness of various treatment protocols with the help of some parameters in caesarean scar pregnancies.

Methods: A total of 26 patients were assessed in the study. The patients were divided into 4 groups. Group 1 consisted of those who had a wedge resection (n = 7), group 2 those who had a suction curettage (n = 10), group 3 those who had a systemic methotrexate (MTX) (n = 5) and group 4 those who had a systemic + local MTX (n = 4). The ßHcg half-lives, haemoglobin levels at the time of admittance and discharge, and hospital stays of the groups were compared.

Results: The difference between group 1 and group 4 was found significant (p = 0.002) with respect to days of hospital stay. There was no statistically significant difference between the groups with respect to ßHcg half-lives and haemoglobin values.

Conclusion: The results of our study showed that there were no significant differences between treatment outcomes when appropriate protocols were employed. Therefore, the important point in CSPs is to assess correctly the type of CSP, the myometrial thickness and the patient's hemodynamic condition and select the most appropriate protocol accordingly rather than trying to establish a single standard treatment protocol.

Keywords: Caesarean scar pregnancy; Outcomes; Treatment protocols.

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