Clinical Efficacy of Laparoscopy and Hystroscopic Dilation and Curettage Procedure in Managing Cesarean Scar Pregnancy
- Mahin Najafian
- Raziye Mohammad Jafari
- Zorvan Jalili
- Mojgan Barati
- Ameneh Mozafari Garmeh
Objective: To evaluate the success rate of laparoscopy and hysteroscopic Dilation & Curettage in treating cesarean scar pregnancy.
Methods: This cross-sectional study was carried on patients suspicious to CSP referred to Imam Khomeini Hospital, Ahvaz from Jun 2016 to March 2018. Gestational site was carefully evaluated by hysteroscopy and then curettage was carried out under laparoscopic guidance. The primary outcome in the study was time interval from treatment to hCG resolution. Moreover, the secondary outcomes were vaginal bleeding time and residual mass size.
Results: In this study, 30 women with intrauterine CSP were evaluated. Of these, 5 had live embryos and 25 had dead fetuses. The success rate of treatment was 100%. Only one patient needed to transfusion. The mean and median duration of Bhcg resolution were 30.9 and 28 days, respectively. Moreover, The mean and median duration of vaginal bleeding were 30.9 and 28 days, respectively. The mean level of residual mass was 9.8 mm3 (ranged from 1 to 25 mm3).
Conclusion: Overall, the findings of this study showed that D&C effectively treated CSP patients (100% success rate), reduced the time of Bhcg resolution and also reduced vaginal bleeding time.
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