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Caesarean Scar Pregnancy Open Access Journals | Open Access Journals
Clinical and Medical Case Reports

Clinical and Medical Case Reports

ISSN: 2684-4915

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Caesarean Scar Pregnancy Open Access Journals

diagnosis and remedy of ectopic cesarean scar being pregnant has grow to be a undertaking for present day obstetrics. With an growth inside the range of pregnancies concluded with a cesarean segment and with the development of transvaginal ultrasonography, the frequency of cesarean scar being pregnant diagnoses has extended as properly. The purpose of the observe is to assess numerous diagnostic techniques (ultrasonography specially) and analyze effective remedy strategies for cesarean scar being pregnant. An ultrasound scan, Doppler exam and magnetic resonance imaging are all useful in early detection of asymptomatic cesarean scar being pregnant, hence allowing powerful remedy and preservation of fertility. Dilatation and curettage is not encouraged because it consists of huge danger of bleeding and very high danger of hysterectomy and fertility loss. Systemic methotrexate remedy must now not be applied at the ordinary foundation due to its low efficacy, excessive hazard of fertility loss and unfavorable results. nearby methotrexate remedy (underneath ultrasound or hysteroscopy steering) need to be considered a perfect control technique as it offers fertility renovation in asymptomatic pregnant patients with out concomitant hemodynamic disorders. Synchronous usage of several remedy strategies is an effective manner to manage cesarean scar pregnancy. The combination of local methotrexate with simultaneous aspiration of gestational tissues under ultrasound or hysteroscopy steerage appears best. ultimately, the last gestational tissues can be eliminated hysteroscopically in combination with vascular coagulation at the implantation web page. In extra advanced cases, nearby methotrexate treatment have to be taken into consideration followed through laparoscopic or laparotomic wedge resection with next surgical correction of the cesarean section scar.

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Citations: 53

Clinical and Medical Case Reports received 53 citations as per Google Scholar report

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