Laparoscopic Excision of Cesarean Scar Ectopic Pregnancy

Background Cesarean scar ectopic pregnancies are increasing in frequency, due to rise in cesarean deliveries. They should be managed early in pregnancy, preferably by surgical excision, failing which they may rupture, or later develop into morbidly adherent placenta. Methods This is a series of five...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology of India 2020-10, Vol.70 (5), p.397-401
Main Authors: Lata, Kusum, Davis, Amenda Ann, Panwar, Akshita, Kriplani, Isha, Sharma, Seema, Kriplani, Alka
Format: Article
Language:English
Subjects:
Gynecology
Instrumentation and Techniques
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
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Summary:Background Cesarean scar ectopic pregnancies are increasing in frequency, due to rise in cesarean deliveries. They should be managed early in pregnancy, preferably by surgical excision, failing which they may rupture, or later develop into morbidly adherent placenta. Methods This is a series of five cases described to explain the instrumentations and techniques in the laparoscopic excision of cesarean scar ectopic pregnancies. Written consent was taken from the patients. Results All five patients underwent successful laparoscopic excision. Follow-up period was uneventful. Conclusion Laparoscopic excision of cesarean scar ectopic is a technically demanding procedure, but with excellent results. All gynecologists should be familiar with this technique due to the increasing incidence of cesarean scar ectopic gestations.
ISSN:0971-9202
0975-6434
DOI:10.1007/s13224-020-01325-5