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. 2021 Jun 2;18(2):85-91.
doi: 10.4274/tjod.galenos.2021.77535.

Outcomes of cesarean scar pregnancy treatment: Do we have options?

Seda Yüksel Şimşek  1 , Erhan Şimşek  1 , Didem Alkaş Yağınç  1 , Şafak Yılmaz Baran  1 , Tayfun Çok  1 , Esra Bulgan Kılıçdağ  1
Affiliations

Outcomes of cesarean scar pregnancy treatment: Do we have options?

Seda Yüksel Şimşek et al. Turk J Obstet Gynecol. .

Abstract

Objective: To investigate the success and complications of medical and surgical modalities used in the treatment of cesarean scar pregnancies.

Materials and methods: Medical and surgical approaches that have been used to treat cesarean scar pregnancies were evaluated retrospectively, Local, systemic, and combined methotrexate treatments were grouped as the medical approach, and dilatation and evacuation, hysteroscopic resection, laparoscopic and laparotomic approaches were grouped as the surgical approach. Fifty-three patients were diagnosed as having cesarean scar pregnancy during the study period, 48 of whom were included in the final analysis. Eighteen patients were treated with medical interventions and 30 patients were treated surgically.

Results: The success rate of surgical modalities was 96.6% and the medical treatment success was 33% (p<0.001). The complication rate was higher with medical approaches compared with surgical methods (66% vs 3.3%, respectively; p<0.001).

Conclusion: Surgical intervention seems safer and more successful than medical treatment.

Keywords: Ectopic pregnancy; cesarean scar ectopic pregnancy; cesarean scar pregnancy.

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Conflict of interest statement

Conflict of Interest: The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram of the study
Figure 2
Figure 2
Decrement of beta-hCG levels in the medically treated group
See this image and copyright information in PMC

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