A simple surgical approach in the treatment of cervical pregnancy

Mancuso, Alfredo; Stella, N. Carlo; Dugo, C; Vivo, Antonio De; Priola, Valentina

doi:10.1080/01443610601137747

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…To control bleeding during curettage and evacuation, hemostatic techniques such as hemostatic clamps or cervical cerclage to block cervical blood supply and balloon tamponade by Foley catheter or a cervical ripening balloon were reported [40][41][42][43][44]. Recently, more minimally invasive total hysteroscopic treatment for cervical pregnancy and also conservative treatment, using a cervical ripening double-balloon catheter alone, were reported [44,45].…”

Section: Management Of Cervical Pregnancymentioning

confidence: 99%

A Minimally Invasive Hemostatic Strategy for Cesarean Scar Pregnancy and Cervical Pregnancy

Takeda¹,

Takeda²,

Yorifuji³

et al. 2020

Non-Tubal Ectopic Pregnancy

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Cesarean scar pregnancy (CSP) and cervical pregnancy are categorized as non-tubal ectopic pregnancy, because these are associated with a high burden of maternal and fetal morbidity including early uterine rupture, prevalence of placenta previa accrete spectrum, massive hemorrhage, and hysterectomy. Although management methods vary according to the week of gestation, recent reviews and reports support an interventional or a combination of surgical and medical approaches for treatment of unruptured CSP and cervical pregnancy rather than medical approach alone. In cases of massive hemorrhage, pressure hemostasis using balloon tamponade should first be performed. If such hemostasis proves to be ineffective, surgical excision or transcatheter arterial embolization (TAE) should be selected next. TAE reportedly achieves a high hemostasis rate. However, complications such as subsequent endometrial hypoplasia, menstruation disorder, infertility, placenta accreta, and uterine rupture have been reported, even in cases that have undergone successful hemostasis with TAE using an absorbable embolus. Recently, a minimally invasive hemostatic strategy in obstetrics, which aims to preserve uterine function and enhance the safety of subsequent pregnancies, has been developed. Therefore, we should reconsider uterus-preserving hemostatic strategies for critical hemorrhage and management of non-tubal ectopic pregnancy under these circumstances by using safe and minimally invasive treatment modalities.

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Section: Management Of Cervical Pregnancymentioning

confidence: 99%

A Minimally Invasive Hemostatic Strategy for Cesarean Scar Pregnancy and Cervical Pregnancy

Takeda¹,

Takeda²,

Yorifuji³

et al. 2020

Non-Tubal Ectopic Pregnancy

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Diagnostic and Therapeutic Dilemmas of Cervical Ectopic Pregnancy

Hosni¹,

Herath²,

Mumtaz³

2014

Obstetrical &Amp; Gynecological Survey

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A high index of suspicion, combined with meticulous review of clinical and radiological findings, is essential to make an accurate diagnosis of cervical pregnancy. The success of conservative treatment depends mainly on early diagnosis. Such cases would be best managed at specialist tertiary referral centers and preferably, where available, Early Pregnancy Assessment Units, whether medical, surgical, or combined treatment modalities were attempted.

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A simple surgical approach in the treatment of cervical pregnancy

Cited by 2 publications

References 6 publications

A Minimally Invasive Hemostatic Strategy for Cesarean Scar Pregnancy and Cervical Pregnancy

A Minimally Invasive Hemostatic Strategy for Cesarean Scar Pregnancy and Cervical Pregnancy

Diagnostic and Therapeutic Dilemmas of Cervical Ectopic Pregnancy

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