Laparoscopic management for complications of cesarean-scar pregnancy

Abstract

Objective: This Surgical Techniques report demonstrates the efficacy of laparoscopic management for complications of cesarean scar pregnancy (CSP). The study aim was to detail the procedure for treating 2 patients and report on their postsurgical outcomes. Materials and Methods: A study of 2 cases of CSP complications was conducted at a tertiary university hospital. The 2 women had CSP pregnancy terminations performed by evacuations at private clinics. They were susequently admitted to the tertiary university hospital with vaginal bleeding and pelvic pain. Cesarean-scar dehiscence and hematoma were noted in each patient. Both patients underwent laparoscopy. The hematomas were evacuated, and residual placental necrotic tissues were removed. The edges of the cesarean scars were stitched laparoscopically. Results: In both patients, no isthmocele formations were seen at the first-month follow-up. Conclusions: The laparoscopic approach may be an efficient option for patients with particularly complicated cases of CSP. (J GYNECOL SURG 38:408)