Hysteroscopic removal, with or without laparoscopic assistance, of first-trimester cesarean scar pregnancy

Chueh, Ho-Yen; Pai, Angel Hsin-Yu; Su, Yuying; Hsu, Chin-Chieh; Chang, Fang‐Yu; Yen, Chih‐Feng

doi:10.1016/j.fertnstert.2021.11.027

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…Recently, the implementation and potential benefits of hysteroscopic removal of first-trimester cesarean scar ectopic pregnancy were reported, which were consistent with our result because the cesarean scar ectopic pregnancy type referred to in their study could be classified as type I in our classification system. 20 , 21 …”

Section: Discussionmentioning

confidence: 99%

Cesarean Scar Ectopic Pregnancy Clinical Classification System With Recommended Surgical Strategy

Ban

Jia

Wang

et al. 2023

Obstetrics &Amp; Gynecology

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Section: Discussionmentioning

confidence: 99%

Cesarean Scar Ectopic Pregnancy Clinical Classification System With Recommended Surgical Strategy

Ban

Jia

Wang

et al. 2023

Obstetrics &Amp; Gynecology

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“… 53 Hysteroscopy allows for direct visualization of the uterine cavity and a CSP, and thus may be a promising surgical option. 54 , 55 A recent systematic review revealed that hysteroscopic treatment after HIFU or UAE resulted in 91% resolution of CSP. 53 Larger studies are required to further assess the safety of hysteroscopic treatment.…”

Section: Treatmentmentioning

confidence: 99%

Overview of ectopic pregnancy diagnosis, management, and innovation

Mullany

Minneci

Monjazeb

et al. 2023

Womens Health (Lond Engl)

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Ectopic pregnancies are the leading cause of maternal mortality in the first trimester, with an incidence of 5%–10% of all pregnancy-related deaths. Diagnosis of ectopic pregnancies is difficult due to clinical mimics and non-specific symptoms of abdominal pain and vaginal bleeding. The current standard for ectopic pregnancy diagnosis includes ultrasound imaging and β-human chorionic gonadotropin (β-hCG) monitoring. In addition to β-hCG, serum markers are being explored as a potential for diagnosis, with activin-AB and pregnancy-associated plasma protein A specifically showing promise. Other diagnostic methods include endometrial sampling, with dilation and curettage showing the highest specificity; however, frozen section reduces the diagnostic timeline which may improve outcomes. Treatment options for confirmed ectopic pregnancies include medical, surgical, and expectant management. Chosen treatment methodology is based on β-hCG levels, hematologic stability, and risk of ectopic pregnancy rupture. Current innovations in ectopic pregnancy management aim to preserve fertility and include laparoscopic partial tubal resection with end-to-end anastomosis and uterine artery embolization with intrauterine infusion of methotrexate. Psychological interventions to improve patient mental health surrounding ectopic pregnancy diagnosis and treatment are also valuable innovations. This literature review aims to bring light to current ectopic pregnancy diagnostics, treatments, and future directions.

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