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  4. Vol 5, Issue 4, 2024

Report and Literature Review on Type III Cesarean Scar Pregnancy Tissue Resection and Scar Defect Repair Surgery

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DOI: 10.23977/medsc.2024.050416 | Downloads: 14 | Views: 810

Author(s)

Caixia Liu 1, Xiaojun Chen 1

Affiliation(s)

1 Shenshan Medical Center, Memorial Hospital of Sun Yat-Sen University, Shanwei, China

Corresponding Author

Caixia Liu

ABSTRACT

To investigate the clinical efficacy of tissue resection and scar defect repair surgery in patients with Type III cesarean scar pregnancy (CSP), this study aims to provide scientific evidence for diagnosis and treatment of such patients by analyzing the applicability and safety of the surgical procedure in conjunction with a literature review. A retrospective analysis was conducted on several cases of Type III CSP patients, evaluating preoperative condition, surgical procedure, postoperative recovery, and follow-up outcomes. Additionally, a literature review was performed to summarize the advancements in CSP diagnosis and treatment, including the selection of treatment approaches and surgical repair techniques, both domestically and internationally. Patients with Type III CSP who underwent scar pregnancy tissue resection and scar defect repair surgery experienced minimal intraoperative bleeding and smooth postoperative recovery, with no significant complications observed. The literature review indicates that this surgical procedure is highly safe and effective in improving patient prognosis and reducing the risk of severe complications, such as uterine rupture. Early surgical intervention for Type III CSP is recommended, with the combination of scar pregnancy tissue resection and scar defect repair surgery effectively reducing surgical risks and improving patient outcomes. This study provides valuable reference for the clinical treatment of Type III CSP and offers suggestions for future research directions based on the literature review.

KEYWORDS

Case report, cesarean scar pregnancy, cesarean section, pregnancy, cicatrix, niche, ultrasound scan, management

CITE THIS PAPER

Caixia Liu, Xiaojun Chen, Report and Literature Review on Type III Cesarean Scar Pregnancy Tissue Resection and Scar Defect Repair Surgery. MEDS Clinical Medicine (2024) Vol. 5: 118-126. DOI: http://dx.doi.org/10.23977/medsc.2024.050416.

REFERENCES

[1] Gonzalez, Natalia, and Togas Tulandi. "Cesarean scar pregnancy: a systematic review." Journal of minimally invasive gynecology 24.5 (2017): 731-738. 
[2] Maheux-Lacroix, Sarah, et al. "Cesarean scar pregnancies: a systematic review of treatment options." Journal of minimally invasive gynecology 24.6 (2017): 915-925.
[3] Petersen, Kathrine Birch, et al. "Cesarean scar pregnancy: a systematic review of treatment studies." Fertility and sterility 105.4 (2016): 958-967.
[4] Valasoulis, George, et al. "Caesarean scar pregnancy: a Case Report and a literature review." Medicina 58.6 (2022): 740.
[5] Sun, Haiying, et al. "Systematic evaluation of the efficacy of treatments for cesarean scar pregnancy." Reproductive Biology and Endocrinology 22.1 (2024): 84.
[6] Liu S, Sun J, Cai B, et al. Management of cesarean scar pregnancy using ultrasound-guided dilation and curettage[J]. Journal of Minimally Invasive Gynecology, 2016, 23(5): 707-711.
[7] Api, Murat, et al. "Should cesarean scar defect be treated laparoscopically? A case report and review of the literature." Journal of Minimally Invasive Gynecology 22.7 (2015): 1145-1152.
[8] Cheng, Qi, et al. "Comparison of the efficacy and safety of different surgical strategies for patients with type II cesarean scar pregnancy." Reproductive and Developmental Medicine 4.02 (2020): 89-96.
[9] Zhang, Hongwen, et al. "Clinical classification and treatment of cesarean scar pregnancy." Journal of Obstetrics and Gynaecology Research 43.4 (2017): 653-661.
[10] Ahamed, Fathima Mohammed, et al. "Link between cesarean section scar defect and secondary infertility: Case reports and review." JBRA Assisted Reproduction 27.1 (2023): 134.
[11] Zhang, Ping, et al. "Cesarean scar endometriosis: presentation of 198 cases and literature review." BMC women's health 19 (2019): 1-6.
[12] Le, Aiwen, et al. "Different surgical approaches to 313 cesarean scar pregnancies." Journal of Minimally Invasive Gynecology 26.1 (2019): 148-152.
[13] Su, Xianghui, et al. "Application of laparoscopic internal iliac artery temporary occlusion and uterine repair combined with hysteroscopic aspiration in type III cesarean scar pregnancy." American Journal of Translational Research 14.3 (2022): 1737.
[14] Fei, Hui, et al. "Comparison of three different treatment methods for cesarean scar pregnancy." Therapeutics and Clinical Risk Management (2019): 1377-1381.
[15] Donnez, Olivier. "Cesarean scar defects: management of an iatrogenic pathology whose prevalence has dramatically increased." Fertility and sterility 113.4 (2020): 704-716.
[16] Qi, Feng, et al. "Type 2 cesarean scar pregnancy successfully treated via hysteroscopy-assisted laparoscopy." Journal of Minimally Invasive Gynecology 26.7 (2019): 1273-1281.
[17] Seow, K‐M., et al. "Cesarean scar pregnancy: issues in management." Ultrasound in Obstetrics and Gynecology: The Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology 23.3 (2004): 247-253.
[18] Xiang, Jiangdong, et al. "Evaluation of the necessity of laparoscopic repair of a uterine scar defect for cesarean scar pregnancy." Journal of International Medical Research 50.1 (2022): 03000605211070753. 

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