Combined laparoscopy and hysteroscopy vs. uterine curettage in the uterine artery embolization-based management of cesarean scar pregnancy: A cohort study

International Journal of Clinical and Experimental Medicine

Volumn 7, Issue 9, 2014, Pages 2793-2803

  Wu, Xin ^a   Xue, Xiaohong ^a   Wu, Xuezhe ^b   Lin, R ^a   Yuan, Ying ^a   Wang, Qing ^a   Xu, Congjian ^a   He, Yifeng ^c   Hu, Weiguo ^a  

^a FUDAN UNIVERSITY   (China)

^b TONGJI UNIVERSITY   (China)

^c SHANGHAI JIAO TONG UNIVERSITY   (China)

Author keywords

Cesarean scar pregnancy; Combined laparoscopy and hysteroscopy; Methotrexate; Uterine artery embolization; Uterine curettage

Indexed keywords

CHORIONIC GONADOTROPIN BETA SUBUNIT; FOLIC ACID; METHOTREXATE;

ABDOMINAL PAIN; ADULT; ARTICLE; CESAREAN SCAR PREGNANCY; CHRONIC PAIN; CONCEPTUS REMOVAL; CONTROLLED STUDY; CURETTAGE; DIVERTICULOSIS; ECHOGRAPHY; FEMALE; FOLLOW UP; HUMAN; HYSTEROSCOPY; LAPAROSCOPY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MENSTRUATION DISORDER; MULTIPLE CYCLE TREATMENT; OBSTETRIC PROCEDURE; OPERATION DURATION; OPERATIVE BLOOD LOSS; PHYSICAL DISEASE BY ANATOMICAL STRUCTURE; PREGNANCY; PREGNANCY OUTCOME; PROSPECTIVE STUDY; TISSUE FISSURE; UTERINE ARTERY EMBOLIZATION; UTERUS BLEEDING; VAGINA BLEEDING; WOUND DEHISCENCE;

EID: 84907820975     PISSN: None     EISSN: 19405901     Source Type: Journal    
DOI: None     Document Type: Article

References (39)

1. Ash A, Smith A and Maxwell D. Caesarean scar pregnancy. Int J Gynaecol Obstet 2007; 114: 253-263.
2. Rotas MA, Haberman S and Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol 2006; 107: 1373-1381.
3. Maymon R, Halperin R, Mendlovic S, Schneider D and Herman A. Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication. Hum Reprod Update 2004; 10: 515-523.
4. Maymon R, Halperin R, Mendlovic S, Schneider D, Vaknin Z, Herman A and Pansky M. Ectopic pregnancies in Caesarean section scars: the 8 year experience of one medical centre. Hum Reprod 2004; 19: 278-284.
5. Herman A, Weinraub Z, Avrech O, Maymon R, Ron-El R and Bukovsky Y. Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar. Br J Obstet Gynaecol 1995; 102: 839-841.
6. Runmei M, Terence TL, Yonghu S, Hong X, Yuqin T, Bailuan L, Minghui Y, Weihong Y, Kun L, Guohua L, Hongyu L, Li G, Renmin N, Wenjin Q, Zhuo C, Mingyu D, Bei Z, Jing X, Yanping T, Lan Z, Xianyan S, Zaiqing Q, Qian S, Xiaoyun Y, Jihui Y and Dandan Z. Practice audits to reduce caesareans in a tertiary referral hospital in south-western China. Bull World Health Organ 2012; 90: 488-494.
7. Long Q, Klemetti R, Wang Y, Tao F, Yan H and Hemminki E. High Caesarean section rate in rural China: is it related to health insurance (New Co-operative Medical Scheme)? Soc Sci Med 2012; 75: 733-737.
8. Zhang XB, Zhong YC, Chi JC, Shen JL, Qiu XX, Xu JR, Zhao AM and Di W. Caesarean scar pregnancy: treatment with bilateral uterine artery chemoembolization combined with dilation and curettage. J Int Med Res 2012; 40: 1919-1930.
9. Lian F, Wang Y, Chen W, Li J, Zhan Z, Ye Y, Zhu Y, Huang J, Xu H, Yang X, Liang L and Yang J. Uterine artery embolization combined with local methotrexate and systemic methotrexate for treatment of cesarean scar pregnancy with different ultrasonographic pattern. Cardiovasc Intervent Radiol 2012; 35: 286-291.
10. Wu X, Zhang X, Zhu J and Di W. Caesarean scar pregnancy: comparative efficacy and safety of treatment by uterine artery chemoemboliza tion and systemic methotrexate injection. Eur J Obstet Gynecol Reprod Biol 2012; 161: 75-79.
11. Yang XY, Yu H, Li KM, Chu YX and Zheng A. Uterine artery embolisation combined with local methotrexate for treatment of caesarean scar pregnancy. BJOG 2010; 117: 990-996.
12. Wang BS, Zhou LF, Coulter D, Liang H, Zhong Y, Guo YN, Zhu LP, Gao XIl, Yuan W and Gao ES. Effects of caesarean section on maternal health in low risk nulliparous women: a prospective matched cohort study in Shanghai, China. BMC Pregnancy Childbirth 2010; 10: 78.
13. Uppal T, Lanzarone V and Mongelli M. Sonographically detected caesarean section scar defects and menstrual irregularity. J Obstet Gynaecol 2011; 31: 413-416.
14. Fylstra DL. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Survey 2002; 57: 537-543.
15. Godin PA, Bassil S and Donnez J. An ectopic pregnancy developing in a previous caesarian section scar. Fertil Steril 1997; 67: 398-400.
16. Litwicka K and Greco E. Caesarean scar pregnancy: a review of management options. Curr Opin Obstet Gynecol 2013; 25: 456-461.
17. Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL and Hwang JL. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol 2004; 23: 247-253.
18. Ravhon A, Ben-Chetrit A, Rabinowitz R, Neuman M and Beller U. Successful methotrexate treatment of a viable pregnancy within a thin uterine scar. Br J Obstet Gynaecol 1997; 104: 628-629.
19. Hartung J and Meckies J. Management of a case of uterine scar pregnancy by transabdominal potassium chloride injection. Ultrasound Obstet Gynecol 2003; 21: 94-95.
20. Roberts H, Kohlenber C, Lanzarone V and Murray H. Ectopic pregnancy in lower segment uterine scar. Aust N Z J Obstet Gynaecol 1998; 38: 114-116.
21. Padovan P, Lauri F and Marchetti M. Intrauterine ectopic pregnancy. A case report. Clin Exp Obstet Gynecol 1998; 25: 79-80.
22. Lee CL, Wang CJ, Chao A, Yen CF and Soong YK. Laparoscopic management of an ectopic pregnancy in a previous Caesarean section scar. Hum Reprod 1999; 14: 1234-1236.
23. He M, Chen MH, Xie HZ, Yao SZ, Zhu B, Feng LP and Wu YP. Transvaginal removal of ectopic pregnancy tissue and repair of uterine defect for caesarean scar pregnancy. Bjog 2011; 118: 1136-1139.
24. Deans R and Abbott J. Hysteroscopic management of cesarean scar ectopic pregnancy. Fertil Steril 2010; 93: 1735-1740.
25. Lam PM, Lo KW and Lau TK. Unsuccessful medical treatment of cesarean scar ectopic pregnancy with systemic methotrexate: a report of two cases. Acta Obstet Gynecol Scand 2004; 83: 108-111.
26. Wang YL, Su TH and Chen HS. Operative laparoscopy for unruptured ectopic pregnancy in a caesarean scar. BJOG 2006; 113: 1035-1038.
27. Buhimschi CS, Zhao G, Sora N, Madri JA and Buhimschi IA. Myometrial wound healing post-Cesarean delivery in the MRL/MpJ mouse model of uterine scarring. Am J Pathol 2010; 177: 197-207.
28. Buhimschi CS, Buhimschi IA, Yu C, Wang H, Sharer DJ, Diamond MP, Petkova AP, Garfield RE, Saade GR and Weiner CP. The effect of dystocia and previous cesarean uterine scar on the tensile properties of the lower uterine segment. Am J Obstet Gynecol 2006; 194: 873-883.
29. Pollio F, Staibano S, Mascolo M, Salvatore G, Persico F, De Falco M and Di Lieto A. Uterine dehiscence in term pregnant patients with one previous cesarean delivery: growth factor immunoexpression and collagen content in the scarred lower uterine segment. Am J Obstet Gynecol 2006; 194: 527-534.
30. Weimin W and Wenqing L. Effect of early pregnancy on a previous lower segment cesarean section scar. Int J Gynaecol Obstet 2002; 77: 201-207.
31. Yang Q, Piao S, Wang G, Wang Y and Liu C. Hysteroscopic surgery of ectopic pregnancy in the cesarean section scar. J Minim Invasive Gynecol 2009; 16: 432-436.
32. Wang CJ, Yuen LT, Chao AS, Lee CL, Yen CF and Soong YK. Caesarean scar pregnancy successfully treated by operative hysteroscopy and suction curettage. BJOG 2005; 112: 839-840.
33. Li H, Guo HY, Han JS, Wang JL, Xiong GW, Shen J and Zhang JJ. Endoscopic treatment of ectopic pregnancy in a cesarean scar. J Minim Invasive Gynecol 2011; 18: 31-35.
34. Yin X, Su S, Dong B, Ban Y, Li C and Sun B. Angiographic uterine artery chemoembolization followed by vacuum aspiration: an efficient and safe treatment for managing complicated cesarean scar pregnancy. Arch Gynecol Obstet 2012; 285: 1313-1318.
35. Pelage JP, Cazejust J, Pluot E, Le Dref O, Laurent A, Spies JB, Chagnon S and Lacombe P. Uterine fibroid vascularization and clinical relevance to uterine fibroid embolization. Radiographics 2005; 25 Suppl 1: S99-117.
36. Spies JB. Uterine artery embolization for fibroids: understanding the technical causes of failure. J Vasc Interv Radiol 2003; 14: 11-14.
37. Jauniaux E and Jurkovic D. Placenta accreta: pathogenesis of a 20th century iatrogenic uterine disease. Placenta 2012; 33: 244-251.
38. Bij de Vaate AJ, Brolmann HA, van der Voet LF, van der Slikke JW, Veersema S and Huirne JA. Ultrasound evaluation of the Cesarean scar: relation between a niche and postmenstrual spotting. Ultrasound Obstet Gynecol 2011; 37: 93-99.
39. Ding DC and Hsu S. Scar endometriosis at the site of cesarean section. Taiwan J Obstet Gynecol 2006; 45: 247-249.