Cesarean Scar Pregnancies and Reproductive Outcomes: A Single Center Experience

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dc.authoridŞükran Doğru: 0000-0002-3383-2837en_US
dc.authoridFatih Akkuş: 0000-0001-7037-9165en_US
dc.authoridAslı Altınordu Atcı: 0000-0002-2637-3150en_US
dc.authoridGülnur Eren: 0000-0002-5403-6733en_US
dc.authoridAli Acar: 0000-0002-9074-258Xen_US
dc.contributor.authorDoğru, Şükran
dc.contributor.authorAkkuş, Fatih
dc.contributor.authorAltınordu Atcı, Aslı
dc.contributor.authorEren, Gülnur
dc.contributor.authorAcar, Ali
dc.date.accessioned2023-05-04T13:19:51Z
dc.date.available2023-05-04T13:19:51Z
dc.date.issued2023en_US
dc.departmentNEÜ, Meram Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları Anabilim Dalıen_US
dc.descriptionMakaleen_US
dc.descriptionWOS:000947547600006en_US
dc.description.abstractObjective: The rising rate of cesarean delivery increases the occurrence of cesarean scar pregnancies (CSP). Early diagnosis and treatment of CSP have become the subject of considerable interest in recent years because of the risk of life-threatening uterine bleeding and rupture. The aim of this study was to share the results of ultrasonography (USG)-guided dilation and curettage (D&C) and hysterotomy in treating early CSP and the long-term reproductive results in these cases. Material and Methods: Patients diagnosed with CSP admitted to the perinatology clinic between January 2016 and April 2020 were included in this study. USG-guided D&C was recommended for all patients diagnosed with CSP in the first trimester (<= 12 gestational weeks). Hysterotomy was recommended for patients who could not undergo D&C. All patients' demographic data and procedure results were retrieved retrospectively from electronic records, and reproductive anamneses after the procedure were obtained from patient files and telephone calls. Results: Sixty-three patients who underwent USG-guided D&C and hysterotomy were included in the study. While D&C was successful in 93.65% ( n=59) of these patients, 6.35% (n=4) underwent hysterotomy. In the USG-guided D&C group, the infertility rate was 15.78% (n=6), the rate of the recurrent scars was 9.3% (n=3), and the rate of placenta accreta spectrum was 6.25% (n=2). The term healthy pregnancy rate was 64%. Conclusion: In experienced hands, USG-guided D& C can be considered the first choice in early scar pregnancies. We believe that similar reproductive results would be obtained when D&C and other treatment modalities were compared in CSP treatment.en_US
dc.identifier.citationDoğru, Ş., Akkuş, F., Altınordu Atcı, A., Eren, G., Acar, A. (2023). Cesarean scar pregnancies and peproductive outcomes: A single center experience. Journal of Clinical Obstetrics and Gynecology, 33, 1, 36-42.en_US
dc.identifier.doi10.5336/jcog.2022-93710en_US
dc.identifier.endpage42en_US
dc.identifier.issn2619-9467en_US
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage36en_US
dc.identifier.urihttp://dx.doi.org/10.5336/jcog.2022-93710
dc.identifier.urihttps://hdl.handle.net/20.500.12452/9593
dc.identifier.volume33en_US
dc.identifier.wosWOS:000947547600006en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTürkiye Kliniklerien_US
dc.relation.ispartofJournal of Clinical Obstetrics and Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPregnancyen_US
dc.subjectEctopicen_US
dc.subjectCesarean Sectionen_US
dc.subjectDilatation and Curettageen_US
dc.subjectHysterotomyen_US
dc.subjectReproductive Healthen_US
dc.titleCesarean Scar Pregnancies and Reproductive Outcomes: A Single Center Experienceen_US
dc.typeArticleen_US

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