Page 68 - World Journal of Laparoscopic Surgery
P. 68
Laparoscopic Management of Cesarean Scar Pregnancy
Future Pregnancy Prospects 6. Hegde CV. Cesarean scar pregnancy: some management options. J
Cesarean scar pregnancy is associated with long-term risks which Obstet Gynecol India 2017:67(3):153–156. DOI: 10.1007/s13224-017-
0987-2.
include secondary infertility, recurrence of ectopic pregnancy, 7. Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar.
uterine rupture and placental attachment abnormalities resulting Ultrasound Obstet Gynecol 2000;16(6):592–593. DOI: 10.1046/j.1469-
in maternal/fetal morbidity/mortality. These issues should be 0705.2000.00300-2.x.
discussed while counselling patients who desire fertility. 4,9,12 8. Harb HM, Knight M, Bottomley C, et al. Cesarean scar pregnancy in
Cesarean scar pregnancy is an upshot of C-section, a primary the UK: a national cohort study. BJOG 2018;125(13):1663–1670. DOI:
cesarean scar invariably invites repeat scars and possibly more CSP. 10.1111/1471-0528.15255.
Therefore, as a preventive measure it would be prudent to monitor a 9. Miller R, Timor–Tritsch IE, Gyamfi–Bannerman C. Society for
6
primary labor well and perform a justified C-section. As the rate of maternal–fetal medicine (SMFM) Consult Series #49: Cesarean scar
C-section scar ectopic pregnancies are increasing every obstetrician pregnancy. Am J Obstet Gynecol 2020;222(5):B2–B14. DOI: 10.1016/j.
ajog.2020.01.030.
is very likely to come across this entity in their lifetime. Hence, in 10. Kirk E, Ankum P, Jakab A, et al. Terminology for describing normally sited
women with history of the previous C-section, early transvaginal and ectopic pregnancies on ultrasound: ESHRE recommendations
ultrasound needs to be done to look for location of implantation for good practice. Hum Reprod Open 2020;2020(4):hoaa055. DOI:
and early diagnosis and early initiation of treatment. 10.1093/hropen/hoaa055.
The surgical and combination treatments are very effective, 11. Deans R, Abbott J. Hysteroscopic management of cesarean scar
whereas medical therapy is associated with a higher risk of ectopic pregnancy. Fertility and Sterility 2010;93(6):1735–1740. DOI:
failure, with hemorrhage and persistence of trophoblast being 10.1016/j.fertnstert.2008.12.099.
the commonest issues that need to be considered in the post- 12. Brancazio S, Saramago I, Goodnight W, et al. Cesarean scar ectopic
pregnancy: case report. Radiol Case Rep 2019;14(3):354–359. DOI:
treatment phase. 10.1016/j.radcr.2018.12.001.
13. Tamada S, Masuyama H, Maki J, et al. Successful pregnancy located
orcid in a uterine cesarean scar: a case report. Case Rep Womens Health
2017;14:8–10. DOI: 10.1016/j.crwh.2017.03.003.
Soumya Rajshekar Patil https://orcid.org/0000-0001-8092-8703 14. Gonzalez N, Tulandi T. Cesarean scar pregnancy: a systematic
review. J Minim Invasive Gynecol 2017;24(5):731–738. DOI: 10.1016/j.
references jmig.2017.02.020.
15. Jayaram P, Okunoye G, Al Ibrahim AA, et al. Expectant management
1. Younes G, Goldberg Y, Lavie O, et al. Cesarean scar pregnancy: a case of cesarean scar ectopic pregnancy: a systematic review. Journal of
series of diagnosis, treatment, and results. J Diagn Med Sonography Perinatal Medicine 2017;46(4):365–372. DOI: 10.1515/jpm-2017-0189.
2018;34(6):502–508. DOI: 10.1177/8756479318791155. 16. Maheux–Lacroix S, Li F, Bujold E, et al. Cesarean scar pregnancies: a
2. Zhou XY, Li H, Fu XD. Identifying possible risk factors for cesarean systematic review of treatment options. J Minim Invasive Gynecol
scar pregnancybased on a retrospective study of 291 cases. J Obstet 2017;24(6):915–925. DOI: 10.1016/j.jmig.2017.05.019.
Gynaecol Res 202;46(23):272–278. DOI: 10.1111/jog.14163. 17. Fuchs N, Manoucheri E, Verbaan M, et al. Laparoscopic management
3. Pędraszewski P, Wlaźlak E, Panek W, et al. Cesarean scar pregnancy: of extrauterine pregnancy in cesarean section scar: description of a
a new challenge for obstetricians. J Ultrason 2018;18(72):56–62. surgical technique and review of the literature. BJOG 2014;122(1):137–
DOI: 10.15557/JoU.2018.0009. 140. DOI: 10.1111/1471-0528.13060.
4. Al Gadeeb S, Al Gadeeb M, Al Matrouk J, et al. Cesarean scar: 18. Long Y, Zhu H, Hu Y, et al. Interventions for non-tubal ectopic
unusual site of ectopic pregnancy: a case report. Cureus pregnancy. Cochrane Database Syst Rev 2020;7(7):CD011174. DOI:
2019:11(10):e5970. DOI: 10.7759/cureus.5970. 10.1002/14651858.CD011174.pub2.
5. Ash A, Smith A, Maxwell D. Cesarean scar pregnancy. BJOG
2007;114(3):253–263. DOI: 10.1111/j.1471-0528.2006.01237.x.
254 World Journal of Laparoscopic Surgery, Volume 15 Issue 3 (September–December 2022)