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
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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
Keywords
Cesarean scar pregnancy
Single-hole laparoscope
Uterine artery pre-ligation
Funding
WJ2019H190/Health commission of Hubei Province scientific research project
Figures
Fig. 1.