Laparoscopic Resection of Cesarean Scar Pregnancy with Bilateral Uterine Artery Ligation

When an embryo implants at the site of a previous cesarean section (CS) defect, it is called cesarean scar pregnancy (CSP). The rate of CS ectopic pregnancy has increased with the rate of CS,[1] which may lead to massive vaginal bleeding, abnormal placentation, and uterine rupture.[2] Two types of CSP have been described; type I (endogenic type) expands through to the uterine cavity and type 2 (exogenic type) shows a progression toward the bladder and abdominal cavity.[3] CSP is a rare type of ectopic pregnancy, and the most effective treatment option still remains unclear.[4]

[1]  T. Tulandi,et al.  Cesarean Scar Pregnancy: A Systematic Review. , 2017, Journal of minimally invasive gynecology.

[2]  Juan-Ying Xu,et al.  Comparison of three treatment strategies for cesarean scar pregnancy , 2017, Archives of Gynecology and Obstetrics.

[3]  S. Mahgoub,et al.  Cesarean Scar Ectopic Pregnancy: Laparoscopic Resection and Total Scar Dehiscence Repair. , 2017, Journal of minimally invasive gynecology.

[4]  S. Bodur,et al.  Systematic review: What is the best first-line approach for cesarean section ectopic pregnancy? , 2016, Taiwanese journal of obstetrics & gynecology.

[5]  E. Hoffmann,et al.  Cesarean scar pregnancy: a systematic review of treatment studies. , 2016, Fertility and sterility.

[6]  H. Shenassa,et al.  Caesarean scar pregnancy. , 2015, Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC.