Chen Weilin1, Jin Li2. 1. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing 100730, China. Electronic address: chenweiwenlin@163.com. 2. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing 100730, China. Electronic address: jinchencsp@163.com.
Abstract
OBJECTIVE: To investigate the efficacy and safety of transabdominal ultrasound-guided suction curettage alone in endogenous cesarean scar pregnancy (CSP). STUDY DESIGN: From 2009 to 2013, 21 women with endogenous CSP who had no other therapy underwent suction curettage alone guided with transabdominal ultrasound. RESULTS: All patients were successfully treated with suction curettage alone. No one needed emergency blood transfusion or uterine artery embolization. The average gestational age was 51.1±7.56 days. The mean thickness of the lower anterior uterine wall was 0.5cm, ranging from 0.3cm to 0.9cm. The average blood loss during surgery was 81.3±33.5 (30-150)ml. The mean time for achieving a normal β-HCG level was 26.9 days. CONCLUSION: Transadominal ultrasound-guided suction curettage was a feasible and effective method for lower risk endogenous CSP patients with the myometrial layer between the gestational sac and the bladder more than 3mm before 10 gestational weeks.
OBJECTIVE: To investigate the efficacy and safety of transabdominal ultrasound-guided suction curettage alone in endogenous cesarean scar pregnancy (CSP). STUDY DESIGN: From 2009 to 2013, 21 women with endogenous CSP who had no other therapy underwent suction curettage alone guided with transabdominal ultrasound. RESULTS: All patients were successfully treated with suction curettage alone. No one needed emergency blood transfusion or uterine artery embolization. The average gestational age was 51.1±7.56 days. The mean thickness of the lower anterior uterine wall was 0.5cm, ranging from 0.3cm to 0.9cm. The average blood loss during surgery was 81.3±33.5 (30-150)ml. The mean time for achieving a normal β-HCG level was 26.9 days. CONCLUSION: Transadominal ultrasound-guided suction curettage was a feasible and effective method for lower risk endogenous CSP patients with the myometrial layer between the gestational sac and the bladder more than 3mm before 10 gestational weeks.
Authors: I P M Jordans; C Verberkt; R A De Leeuw; C M Bilardo; T Van Den Bosch; T Bourne; H A M Brölmann; M Dueholm; W J K Hehenkamp; N Jastrow; D Jurkovic; A Kaelin Agten; R Mashiach; O Naji; E Pajkrt; D Timmerman; O Vikhareva; L F Van Der Voet; J A F Huirne Journal: Ultrasound Obstet Gynecol Date: 2022-04 Impact factor: 8.678