Selection of a correct treatment protocol in caesarean scar pregnancies
ARCHIVES OF GYNECOLOGY AND OBSTETRICS, cilt.302, sa.6, ss.1375-1380, 2020 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 302 Sayı: 6
- Basım Tarihi: 2020
- Doi Numarası: 10.1007/s00404-020-05800-2
- Dergi Adı: ARCHIVES OF GYNECOLOGY AND OBSTETRICS
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, MEDLINE
- Sayfa Sayıları: ss.1375-1380
- Anahtar Kelimeler: Caesarean scar pregnancy, Treatment protocols, Outcomes, IN-VITRO FERTILIZATION, ECTOPIC PREGNANCY, 1ST-TRIMESTER DIAGNOSIS, EMBRYO-TRANSFER, MANAGEMENT, CURETTAGE
- Ankara Üniversitesi Adresli: Evet
Özet
Objective This study aims at assessing the effectiveness of various treatment protocols with the help of some parameters in caesarean scar pregnancies. Methods A total of 26 patients were assessed in the study. The patients were divided into 4 groups. Group 1 consisted of those who had a wedge resection (n = 7), group 2 those who had a suction curettage (n = 10), group 3 those who had a systemic methotrexate (MTX) (n = 5) and group 4 those who had a systemic + local MTX (n = 4). The ssHcg half-lives, haemoglobin levels at the time of admittance and discharge, and hospital stays of the groups were compared. Results The difference between group 1 and group 4 was found significant (p = 0.002) with respect to days of hospital stay. There was no statistically significant difference between the groups with respect to ssHcg half-lives and haemoglobin values. Conclusion The results of our study showed that there were no significant differences between treatment outcomes when appropriate protocols were employed. Therefore, the important point in CSPs is to assess correctly the type of CSP, the myometrial thickness and the patient's hemodynamic condition and select the most appropriate protocol accordingly rather than trying to establish a single standard treatment protocol.