Surgical Management of Cesarean Scar Ectopic Pregnancy: Hysteroscopy & Laparoscopy Outcomes

Benha University47 enrolled

Overview

The study investigates the feasibility, safety, and outcomes of a simultaneous surgical approach for cesarean scar ectopic pregnancy (CSEP). CSEP is a prevalent and serious form of ectopic pregnancy requiring swift intervention. The research explores using hysteroscopy and laparoscopy concurrently to manage the CSEP and repair the uterine scar defect. The procedure involved hysteroscopic-guided evacuation and a double-layer laparoscopic repair, followed by a second hysteroscopy to confirm the repair's effectiveness.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Cesarean Section Complications

Interventions

HysteroscopyPROCEDURE

Hysteroscopic-guided suction evacuation and double-layer laparoscopic repair of the niche were performed concomitantly and followed by second-look hysteroscopy to ensure the competence of the repair.

Eligibility

Sex: FEMALEMin age: 25 YearsMax age: 55 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with positive clinical and lab pregnancy diagnosis; * Patients with history of at least one previous Cesarean section; * Patients with Transvaginal ultrasound documenting Cesarean scar ectopic Pregnancy; Exclusion Criteria: * Patients with were extensive adhesions between the mass and the urinary bladder on MRI; * Patients with myomas, polyps, endometrial hyperplasia, and cancers of the cervix or endometrium; * Patients with a body mass index (BMI) of \>35kg/m2; * Patients with previous abdominal surgeries with possible difficulties during laparoscopy; * Patients with menstrual irregularities, or coagulation disorders.

Locations (1)

Banha University

Banhā, El- Qalyobia, Egypt

Outcomes

Primary Outcomes

Success Rate of Hysteroscopy in Restoring the normal endometrial metrics, and removing any uterine defects.

The proportion of patients who restored their normal endometrial metrics and removed any uterine scars during the study, reflecting the effectiveness of the applied Hystreoscopy regimens.

Time frame: 6~7 months

Data from ClinicalTrials.gov

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