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Transvaginal hysterotomy: A novel approach for the treatment of cesarean scar pregnancy

The objective of this study was to determine the outcome of using transvaginal hysterotomy as the first-line treatment of cesarean scar pregnancy (CSP). A literature review was performed on all eligible reports using this modality as the first-line treatment of CSP in English report. Relevant public...

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Published in:Taiwanese journal of obstetrics & gynecology 2019-07, Vol.58 (4), p.460-464
Main Authors: OuYang, Zhenbo, Xu, Yujing, Li, Hongwei, Zhong, Biting, Zhang, Qiushi
Format: Article
Language:English
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Summary:The objective of this study was to determine the outcome of using transvaginal hysterotomy as the first-line treatment of cesarean scar pregnancy (CSP). A literature review was performed on all eligible reports using this modality as the first-line treatment of CSP in English report. Relevant publications were obtained from the PubMed electronic database from inception to October 2018. Two hundred and fifteen cases reported in 7 articles were reviewed. The success rate of treatment was 99.5% (214/215), complication rate was 1.4% (3/215), and hysterectomy rate was 0.5% (1/215). Transvaginal hysterotomy could be considered as a good first-line treatment modality for CSP.
ISSN:1028-4559
DOI:10.1016/j.tjog.2019.05.005