Abstract

Background: Caesarean scar pregnancy (CSP) is a rare but potentially life-threatening complication for women of reproductive age with a previous caesarean birth The incidence of CSP has exponentially risen over the past two decades , due to an increasing rate of caesarean delivery. Because of the rarity of the condition, majority of CSPs are case reports or small case series reported in the literature, and no universal treatment guidelines have been established yet. Objective: To compare the safety and efficacy of laparoscopic resection and transvaginal resection as treatment options for cesarean scar pregnancy (CSP). Methods: The clinical data of 19 patients diagnosed with endogenous CSP from January 2013 to June 2017 was reviewed. Setting: Tertiary hospital Results: Among these patients, 16 patients were treated with laparoscopic resection, 3 patients with transvaginal resection. All patients recovered fully without complications. Patients with excessive vaginal hemorrhage underwent emergency UAE treatment prior to laparoscopy. These two treatments had similar success rates (100% vs 100%) , with no statistically significant difference in the intraoperative blood loss, duration of hospital stay, time for resolution of CSP mass, time for return of menstruation, and time for normalization of serum beta HCG levels. Conclusions The accurate and timely diagnosis of CSP is vital. Laparoscopic resection and transvaginal resection of CSP are a safe and effective method of treatment and both have comparable outcomes, high success rate and fewer complications.