IMR Press / CEOG / Volume 48 / Issue 5 / DOI: 10.31083/j.ceog4805167
Open Access Short Communication
Transumbilical single-hole laparoscopic treatment of cesarean scar pregnancy by uterine artery pre-ligation: a report of 4 cases
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1 Department of Gynecology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, 430070 Wuhan, Hubei, China
2 Hubei Provincial Key Laboratory of Occupational Hazard Identification and Control, Wuhan University of Science and Technology, 430065 Wuhan, Hubei, China
*Correspondence: dongxin@hbfy.com (Xin Du)
Clin. Exp. Obstet. Gynecol. 2021, 48(5), 1044–1047; https://doi.org/10.31083/j.ceog4805167
Submitted: 15 November 2020 | Revised: 24 December 2020 | Accepted: 14 January 2021 | Published: 15 October 2021
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract

Background: To explore the safety and feasibility of transumbilical single-hole laparoscopic treatment of cesarean scar pregnancy (CSP) by uterine artery pre-ligation. Methods: Four cases with type II or III CSP were collected. Under transumbilical single-hole laparoscope, an active knot was first made around the uterine artery. If excessive bleeding occurred, the active knot was tightened to control intraoperative bleeding. Excessive bleeding was defined as more than 50 mL of bleeding within 2 min that failed to respond to electrocoagulation. Results: The active knot was tightened in two of the four cases. Overall, the mean intraoperative bleeding was 175.00 ± 155.456 mL, mean operation duration was 171.00 ± 17.455 min, mean postoperative hospitalization was 4.50 ± 0.577 days, and the mean time required for postoperative serum β-HCG to return to normal level was 27.50 ± 5.196 days. Menstruation recovered in 40.25 ± 16.112 days after operation, while postoperative menstrual volume was less in one case and otherwise normal. Conclusions: For the treatment of type II or III CSP, transumbilical single-hole laparoscope combined with uterine artery pre-ligation can accurately control and reduce intraoperative bleeding in place of uterine artery embolization. This treatment regimen is safe and may obtain better abdominal appearance.

Keywords
Cesarean scar pregnancy
Single-hole laparoscope
Uterine artery pre-ligation
Funding
WJ2019H190/Health commission of Hubei Province scientific research project
Figures
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