Document Detail

Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report.
MedLine Citation:
PMID:  18353320     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To present a case of laparoscopic removal of a heterotopic cesarean scar pregnancy under ultrasound guidance. DESIGN: Case report. SETTING: Private hospital. PATIENT(S): A 34-year-old woman with heterotopic cesarean scar pregnancy. INTERVENTION(S): Laparoscopic removal of heterotopic cesarean scar pregnancy. MAIN OUTCOME MEASURE(S): Delivery at term after laparoscopic management of heterotopic cesarean scar pregnancy. RESULT(S): An ongoing intrauterine pregnancy ended with a live birth after successful removal of the heterotopic gestational mass by a laparoscopic approach. CONCLUSION(S): Surgical removal of the ectopic mass by laparoscopy may be a radical approach in cases of heterotopic cesarean scar pregnancy. Laparoscopic excision of the cesarean scar pregnancy gives the opportunity to preserve the viable intrauterine gestation while maintaining a strong lower uterine segment. Ultrasound is an adjunctive tool that enables precise location of the ectopic mass during the operation.
L Cem Demirel; Harika Bodur; Belgin Selam; Arda Lembet; Tolga Ergin
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-18
Journal Detail:
Title:  Fertility and sterility     Volume:  91     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1293.e5-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Acibadem Health Group, Istanbul, Turkey.
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MeSH Terms
Cesarean Section / adverse effects*
Cicatrix / complications,  etiology,  surgery*
Delivery, Obstetric
Infant, Newborn
Laparoscopy* / methods
Pregnancy Complications / surgery
Pregnancy, Ectopic / etiology*,  pathology,  surgery*
Pregnancy, Multiple
Term Birth / physiology

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