Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period

• Published in: Turkish journal of obstetrics and gynecology 2021-03, Vol.18 (1), p.37-43
• Main Authors: Karakuş, Resul, Karakuş, Sultan Seren, Güler, Burak, Ünver, Gökhan, Özkaya, Enis
• Format: Article
• Language: English
• Subjects: Cesarean section; Clinical Investigation; Data analysis; Gestational age; Health sciences; Kadın Hastalıkları; Laparoscopy; Parity; Patients; Pregnancy complications; Regression analysis; Tıp; Ultrasonic imaging; Vagina; Womens health
• ISSN: 2149-9322; 2149-9330
• DOI: 10.4274/tjod.galenos.2021.65288

To determine some associated factors for isthmocele formation 3 months after the treatment of cesarean scar pregnancy (CSP). This is a prospective consecutive case series of CSP managed by fertility preservation modalities at a single tertiary care center from May 2016 to March 2019 (n=95). Patients with a diagnosis of CSP were identified and followed prospectively to collect data on the patients' demographics; detailed medical, surgical, and social history; symptoms; imaging and laboratory parameters at the time of CSP diagnosis and during treatment; treatment modalities, myometrial thickness; and outcomes in terms of isthmocele formation. Mean myometrial thickness overlying scar pregnancy was significantly lower in the group with isthmocele formation, and the mean gestational age of scar pregnancy was also significantly lower in the group with isthmocele formation following treatment of scar pregnancy (p