Open Access

Clinical efficacy of laparoscopic surgery used for the excision of villus tissue and the repair of uterine scar in patients with cesarean scar pregnancy‑II

  • Authors:
    • Xiao Man Li
    • Xiao Feng Xu
    • Ning Ning Wang
    • Li Yao
  • View Affiliations

  • Published online on: July 26, 2022     https://doi.org/10.3892/mi.2022.48
  • Article Number: 23
  • Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

The present study described the clinical presentation of patients with cesarean scar pregnancy type II (CSP)‑II diagnosed by ultrasound or magnetic resonance imaging, who underwent laparoscopic surgery resection or hysteroscopic treatment. The aim of the present study was to evaluate the outcomes of different treatments for CSP. The patients with CSP‑II were assigned to the laparoscopy and hysteroscopy groups according to the type of surgery performed. The general indicators and post‑operative outcomes were compared between the two groups. Statistically significant differences (P<0.05) were noted in the treatment efficacy indices between the two groups. The laparoscopic group exhibited a lower value of β‑human chorionic gonadotropin (β‑HCG) following surgery (P=0.017), a shorter time required for β‑HCG to return to normal levels (P=0.001), a reduced post‑operative thickness of the uterine scar (P<0.001) and a reduced menstruation recovery time (P<0.001). However, no significant differences were noted in blood loss during operation (P>0.05). On the whole, the data indicated that the laparoscopic resection of the scar with gestational tissue and wound repair may be used to preserve the uterus and may thus be an effective method for CSP‑II. The appropriate treatment needs to be selected according to the condition of each patient. Based on the latter and on the available technology, priority may perhaps be given to laparoscopic surgery.
View Figures
View References

Related Articles

Journal Cover

July-August 2022
Volume 2 Issue 4

Print ISSN: 2754-3242
Online ISSN:2754-1304

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Li XM, Xu XF, Wang NN and Yao L: Clinical efficacy of laparoscopic surgery used for the excision of villus tissue and the repair of uterine scar in patients with cesarean scar pregnancy‑II. Med Int 2: 23, 2022.
APA
Li, X.M., Xu, X.F., Wang, N.N., & Yao, L. (2022). Clinical efficacy of laparoscopic surgery used for the excision of villus tissue and the repair of uterine scar in patients with cesarean scar pregnancy‑II. Medicine International, 2, 23. https://doi.org/10.3892/mi.2022.48
MLA
Li, X. M., Xu, X. F., Wang, N. N., Yao, L."Clinical efficacy of laparoscopic surgery used for the excision of villus tissue and the repair of uterine scar in patients with cesarean scar pregnancy‑II". Medicine International 2.4 (2022): 23.
Chicago
Li, X. M., Xu, X. F., Wang, N. N., Yao, L."Clinical efficacy of laparoscopic surgery used for the excision of villus tissue and the repair of uterine scar in patients with cesarean scar pregnancy‑II". Medicine International 2, no. 4 (2022): 23. https://doi.org/10.3892/mi.2022.48