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Clinical efficacy of Laparoscopy and Hystroscopic Dilation and curettage procedure in managing cesarean scar pregnancy

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Year: 2019
COI code: DTOGIMED03_075
Paper Language: English

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Authors Clinical efficacy of Laparoscopy and Hystroscopic Dilation and curettage procedure in managing cesarean scar pregnancy

  Mahin Najafian - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره) خوزستان.ایران
  Raziye Mohammad Jafari - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره) خوزستان.ایران
  Zorvan Jalili - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره) خوزستان.ایران
  پریوش جلوداریان - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره) خوزستان.ایران

Abstract:

Background and Aim : To evaluate the success rate of laparoscopy and hysteroscopic Dilation &Curettage in treating cesarean scar pregnancyMethods : This cross-sectional study was carried on patients suspicious to CSP referred to Imam KhomeiniHospital, Ahvaz from Jun 2016 to March 2018. Gestational site was carefully evaluated by hysteroscopyand then curettage was carried out under laparoscopic guidance. The primary outcome in the study wastime interval from treatment to hCG resolution. Moreover, the secondary outcomes were vaginal bleedingtime and residual mass size.Results : In this study, 30 women with intrauterine CSP were evaluated. Of these, 5 had live embryos and25 had dead fetuses. The success rate of treatment was 100%. Only one patient needed to transfusion. Themean and median duration of Bhcg resolution were 30.9 and 28 days, respectively. Moreover, The meanand median duration of vaginal bleeding were 30.9 and 28 days, respectively. The mean level of residualmass was 9.8 mm3 (ranged from 1 to 25 mm3).Conclusion : Overall, the findings of this study showed that D&C effectively treated CSP patients (100%success rate), reduced the time of Bhcg resolution and also reduced vaginal bleeding time.

Keywords:

Dilation and curettage, Ectopic preganacy, Cesarean, Hysterescopy

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COI code: DTOGIMED03_075

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Najafian, Mahin; Raziye Mohammad Jafari; Zorvan Jalili & پریوش جلوداریان, 2019, Clinical efficacy of Laparoscopy and Hystroscopic Dilation and curettage procedure in managing cesarean scar pregnancy, 3rd debatable topics on obstetrics gynecology & infertility, تهران, دانشگاه علوم پزشكي و خدمات بهداشتي و درماني شهيد بهشتي, https://www.civilica.com/Paper-DTOGIMED03-DTOGIMED03_075.htmlInside the text, wherever referred to or an achievement of this article is mentioned, after mentioning the article, inside the parental, the following specifications are written.
First Time: (Najafian, Mahin; Raziye Mohammad Jafari; Zorvan Jalili & پریوش جلوداریان, 2019)
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Type: Medical University
Paper No.: 2442
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