Page 4 - World Journal of Laparoscopic Surgery

Minimal Access Surgery in Cesarean Scar Pregnancy
uterine closure might contribute to the occurrence of cesarean scar 4. Maymon R, Svirsky R, Smorgick N, et al. Fertility performance and
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the uterine incision after caesarean section: Is it preventable? Eur
CSP patients experienced vaginal bleeding, 3.40% had pain in J Obstet Gynecol Reprod Biol 2006;124(1):32–36. DOI: 10.1016/
the abdomen, 11.30% had bleeding and pain, and 38.10% were j.ejogrb.2005.03.023.
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asymptomatic. In our study, 54.5% patients were asymptomatic on 6. Vervoort AJ, Uittenbogaard LB, Hehenkamp WJ, et al. Why do niches
admission which also elaborates the importance of early diagnosis develop in caesarean uterine scars? Hypotheses on the aetiology
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Luo et al. reported that short intervals between the present DOI: 10.1093/humrep/dev240.
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less than 24 months from the last pregnancy. It also suggests that thickness at next pregnancy. Am J Obstet Gynecol 2017;217(1):65.
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and Nagayama and Luo et al. In our study, seven patients of CSP 0528.14189.
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Shi et al. suggested that elective cesarean section performed 11. Larsen JV, Solomon MH. Pregnancy in a uterine scar sacculus--an
before the first stage of labor in an undeveloped lower uterine unusual cause of postabortal haemorrhage. A case report. S Afr Med
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Lin et al. and Bodur et al. in their studies concluded that Diagnostic challenges and management options. Obstet Gynaecol
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while Lin et al. concluded that laparoscopic management of CSP 13. Qian ZD, Guo QY, Huang LL. Identifying risk factors for recurrent
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Drever et al. concluded that patients who receive systemic 14. Xiao J, Zhang S, Wang F, et al. Cesarean scar pregnancy: Noninvasive
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extremely high and raises significant concern. Am J Obstet Gynecol 2014;211(4):356.e1–356.e7. DOI: 10.1016/
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through laparoscopy with no major complications. Laparoscopic 15. Chuang J, Seow KM, Cheng WC, et al. Conservative treatment of
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at the end of the surgery, so frequent follow-ups and prolonged 16. Chen Y, Han P, Wang YJ, et al. Risk factors for incomplete healing
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• Laparoscopic management of CSP with multimodality approach 18. Luo L, Ruan X, Li C, et al. Early clinical features and risk factors for
has high success rate with minimal complications. cesarean scar pregnancy: A retrospective case-control study. Gynecol
• Early diagnosis helps to avoid serious complications. Endocrinol 2019;35(4):337–341. DOI: 10.1080/09513590.2018.1526276.
• Women of child-bearing age should be counseled on planned 19. Shinagawa S, Nagayama M. Cervical pregnancy as a possible sequela
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World Journal of Laparoscopic Surgery, Volume 16 Issue 1 (January–April 2023) 3