Outcomes of nonsurgical versus surgical treatment of cesarean scar pregnancies in the first trimester

Outcomes of nonsurgical versus surgical treatment of cesarean scar pregnancies in the first... 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Gynecology and Obstetrics Springer Journals

Outcomes of nonsurgical versus surgical treatment of cesarean scar pregnancies in the first trimester

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany
Subject
Medicine & Public Health; Gynecology; Obstetrics/Perinatology/Midwifery; Endocrinology; Human Genetics
ISSN
0932-0067
eISSN
1432-0711
D.O.I.
10.1007/s00404-017-4466-x
Publisher site
See Article on Publisher Site

Abstract

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

Journal

Archives of Gynecology and ObstetricsSpringer Journals

Published: Jul 28, 2017

References

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