Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy
Introduction: Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. Lack of timely CSP treatment can lead to severe postpartum bleeding, affect fertility, and threaten patients’ life and health. Aim: This work explored the use of laparoscopic temporary uterine artery blocking (TUAB)...
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Termedia Publishing House
2024-07-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.mp.pl/videosurgery/issue/article/17890/ |
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| author | Kefei Zeng Xianghua Lei Tingting Xia |
| author_facet | Kefei Zeng Xianghua Lei Tingting Xia |
| author_sort | Kefei Zeng |
| collection | DOAJ |
| description | Introduction: Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. Lack of timely CSP treatment can lead to severe postpartum bleeding, affect fertility, and threaten patients’ life and health.
Aim: This work explored the use of laparoscopic temporary uterine artery blocking (TUAB) and uterine artery embolization (UAE) in treating CSP.
Materials and methods: For the purpose of the study, 60 patients with CSP were selected and equally divided into the UAE group and the TUAB group. Both groups underwent cesarean scar lesion repair (CSLR) after the procedure. The differences in surgical outcomes, β-human chorionic gonadotropin (β-HCG) levels, ovarian reserve, endocrine function indicators, as well as the incidence of complications were compared between the groups.
Results: The TUAB group presented a shorter length of hospital stay, shorter vaginal bleeding time, shorter menstrual recovery time, and shorter mass disappearance time than the UAE group (all P <0.05). The patients in the TUAB group had lower β-HCG, estradiol, and progesterone levels, and higher levels of luteinizing hormone and follicle-stimulating hormone (all P <0.05). Furthermore, the TUAB patients had a larger mean ovary diameter, an increased antral follicle count, and an elevated level of anti-Müllerian hormone, as compared with the individuals treated with UAE (all P <0.05). The total incidence of complications in the UAE and TUAB groups was 23.33% (7/30) and 6.67% (2/30), respectively (P <0.05).
Conclusions: Laparoscopic TUAB for CSLR proved to be a more effective and safer CSP treatment method than UAE. |
| format | Article |
| id | doaj-art-b565e867ee89484ab44ae6c0eb4626b7 |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-b565e867ee89484ab44ae6c0eb4626b72025-01-29T17:42:17ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542024-07-0119337738310.20452/wiitm.2024.17890Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancyKefei Zeng0Xianghua Lei1Tingting Xia2Department of Obstetrics and Gynecology, Affiliated Hospital of Jinggangshan University, Ji’an, Jiangxi Province, ChinaDepartment of Obstetrics and Gynecology, Affiliated Hospital of Jinggangshan University, Ji’an, Jiangxi Province, ChinaDepartment of Reproductive Medicine, Affiliated Hospital of Jinggangshan University, Ji’an, Jiangxi Province, ChinaIntroduction: Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. Lack of timely CSP treatment can lead to severe postpartum bleeding, affect fertility, and threaten patients’ life and health. Aim: This work explored the use of laparoscopic temporary uterine artery blocking (TUAB) and uterine artery embolization (UAE) in treating CSP. Materials and methods: For the purpose of the study, 60 patients with CSP were selected and equally divided into the UAE group and the TUAB group. Both groups underwent cesarean scar lesion repair (CSLR) after the procedure. The differences in surgical outcomes, β-human chorionic gonadotropin (β-HCG) levels, ovarian reserve, endocrine function indicators, as well as the incidence of complications were compared between the groups. Results: The TUAB group presented a shorter length of hospital stay, shorter vaginal bleeding time, shorter menstrual recovery time, and shorter mass disappearance time than the UAE group (all P <0.05). The patients in the TUAB group had lower β-HCG, estradiol, and progesterone levels, and higher levels of luteinizing hormone and follicle-stimulating hormone (all P <0.05). Furthermore, the TUAB patients had a larger mean ovary diameter, an increased antral follicle count, and an elevated level of anti-Müllerian hormone, as compared with the individuals treated with UAE (all P <0.05). The total incidence of complications in the UAE and TUAB groups was 23.33% (7/30) and 6.67% (2/30), respectively (P <0.05). Conclusions: Laparoscopic TUAB for CSLR proved to be a more effective and safer CSP treatment method than UAE.https://www.mp.pl/videosurgery/issue/article/17890/cesarean scar pregnancycesarean sectiontemporary uterine artery blockinguterine artery embolization |
| spellingShingle | Kefei Zeng Xianghua Lei Tingting Xia Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy Videosurgery and Other Miniinvasive Techniques cesarean scar pregnancy cesarean section temporary uterine artery blocking uterine artery embolization |
| title | Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy |
| title_full | Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy |
| title_fullStr | Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy |
| title_full_unstemmed | Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy |
| title_short | Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy |
| title_sort | temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy |
| topic | cesarean scar pregnancy cesarean section temporary uterine artery blocking uterine artery embolization |
| url | https://www.mp.pl/videosurgery/issue/article/17890/ |
| work_keys_str_mv | AT kefeizeng temporaryuterinearteryblockinganduterinearteryembolizationintreatingcesareanscarpregnancy AT xianghualei temporaryuterinearteryblockinganduterinearteryembolizationintreatingcesareanscarpregnancy AT tingtingxia temporaryuterinearteryblockinganduterinearteryembolizationintreatingcesareanscarpregnancy |