Arch Gynecol Obstet (2017) 296:533–541 DOI 10.1007/s00404-017-4466-x GENERAL GYNECOLOGY Outcomes of nonsurgical versus surgical treatment of cesarean scar pregnancies in the first trimester 1,2,4 1,3 1 Erin E. Washburn · Katherine Pocius · Daniela Carusi Received: 14 November 2016 / Accepted: 18 July 2017 / Published online: 28 July 2017 © Springer-Verlag GmbH Germany 2017 Abstract (22%) required additional intervention, but none experi- Purpose To compare outcomes of nonsurgical versus sur- enced major complications. Nonsurgical therapy had a gical treatment of Cesarean scar pregnancies (CSP) in the higher rate of needing further intervention (45%) than sur- first trimester and identify optimal treatment methods for gical therapy (17%) (p = 0.19). There was one recurrent CSP. CSP in 11 subsequent deliveries with no uterine ruptures or Methods Retrospective cohort study of all women diag- hysterectomies. nosed and treated with CSP in the first trimester at a single Conclusions We have described nonsurgical and surgical tertiary care center from 2000–2012. Main outcome meas- treatments of first trimester CSP with a low rate of major ures were need for additional treatments, hemorrhage, or complications and no emergent hysterectomies. Of the non- emergent hysterectomy. Future pregnancy outcomes were surgical therapies, single-agent treatment with either sys- considered secondarily. temic MTX or intrasac
Archives of Gynecology and Obstetrics – Springer Journals
Published: Jul 28, 2017
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