2020
DOI: 10.3390/medicina56060293
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Ectopic Cervical Pregnancy: Treatment Route

Abstract: Background and objectives: Cervical pregnancy (CP) is a rare form of ectopic pregnancy (EP) in which the embryo implants and grows inside the endocervical canal. Early diagnosis is essential in order to allow conservative medical and surgical treatments. Although many treatment approaches are disponible, the most effective is still unclear. The aim of this study is to evaluate the efficacy of hysteroscopic management in early CP in order to preserve future fertility. Materials and Methods: This is a retrospect… Show more

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Cited by 29 publications
(34 citation statements)
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“…For CP, we suggest the hysteroscopic approach, alone or combined with systemic MTX, also in cases of patients with β-hCG serum levels higher than 5000 UI/mL [21]. In case of local injection of MTX, hysteroscopy appears advantageous in comparison to ultrasonography.…”
Section: Cervical Pregnancymentioning
confidence: 99%
“…For CP, we suggest the hysteroscopic approach, alone or combined with systemic MTX, also in cases of patients with β-hCG serum levels higher than 5000 UI/mL [21]. In case of local injection of MTX, hysteroscopy appears advantageous in comparison to ultrasonography.…”
Section: Cervical Pregnancymentioning
confidence: 99%
“…Clinically, based on our retrospective review, parameters such as gestational age, values of serum b HCG, and the presence of fetal cardiac activity have to be taken into consideration when choosing the best treatment route for the patient. 2,7 Our main conclusion based on our review of the literature and our center's experience is that an approach to each patient remains individual. Because CEP is a rare condition, there are no universally accepted protocols for the management of CEP.…”
Section: Discussionmentioning
confidence: 97%
“…1 The incidence of CEP ranges between 1 in 1,000 and 1 in 18,000 of all pregnancies. 2,3 Due to the lack of universally accepted guidelines for diagnosing and managing CEP, there is a discrepancy in the reported incidence. Even though the exact pathophysiology of CEP remains unknown, some of the major risk factors are well-documented: previous dilatation and curettage, previous cesarean section delivery, surgical procedures for cervical pathology, and assisted reproductive technologies (ART).…”
Section: Introductionmentioning
confidence: 99%
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“…A relatively new approach is the use of hysteroscopy to remove cesarean scar pregnancies, which offers numerous advantages, like visually directed treatment, reduced operative bleeding, shorter stay, and better patient compliance [ 3 , 22 , 23 , 24 , 25 , 26 ].…”
Section: Introductionmentioning
confidence: 99%