Management of Cesarean Scar Ectopic Pregnancy: A Combined Approach

Caesarean scar pregnancy with scar dehiscence - successful laparoscopic management and the review of literature

“…[17][18][19] A case report by Ambler et al describes the successful management of cesarean scar pregnancy by hysteroscopic suction and evacuation under laparoscopic guidance following failed medical management. 10 Murat et al reviewed the data from previously published articles related to laparoscopic and hysteroscopic repair of caesarean scar pregnancy and concluded that hysteroscopic approach has its own limitations and cannot strengthen the uterine wall. According to him laparoscopic approach which effectively repairs the scar defect to reinforce the myometrial endurance seems to be an appropriate method to deal with caesarean scar pregnancy.…”

“…Among surgical treatment, laparoscopic approach has been tried in several cases and found superior to any other treatment especially when there is suspected scar dehiscence or rupture. [8][9][10] …”