Yıl: 2021 Cilt: 18 Sayı: 1 Sayfa Aralığı: 37 - 43 Metin Dili: İngilizce DOI: 10.4274/tjod.galenos.2021.65288 İndeks Tarihi: 20-06-2021

Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period

Öz:
Objective: To determine some associated factors for isthmocele formation 3 months after the treatment of cesarean scar pregnancy (CSP).Materials and Methods: This is a prospective consecutive case series of CSP managed by fertility preservation modalities at a single tertiary care center fromMay 2016 to March 2019 (n=95). Patients with a diagnosis of CSP were identified and followed prospectively to collect data on the patients’ demographics;detailed medical, surgical, and social history; symptoms; imaging and laboratory parameters at the time of CSP diagnosis and during treatment; treatmentmodalities, myometrial thickness; and outcomes in terms of isthmocele formation.Results: Mean myometrial thickness overlying scar pregnancy was significantly lower in the group with isthmocele formation, and the mean gestationalage of scar pregnancy was also significantly lower in the group with isthmocele formation following treatment of scar pregnancy (p<0.05). Multivariateregression analysis was conducted to determine associations between certain variables and isthmocele development, which revealed that the gestational ageof scar pregnancy and myometrial thickness were significantly associated with isthmocele formation.Conclusion: Myometrial thickness and gestational age of scar pregnancy were significantly associated with isthmocele formation 3 months after treatment
Anahtar Kelime:

Sezaryen skar gebeliği üzerindeki miyometriyal kalınlık, postoperatif dönemin üçüncü ayında istmosel oluşumu ile anlamlı ilişkilidir

Öz:
Amaç: Bu çalışmanın amacı, sezaryen skar gebeliğinin (SSG) tedavisinden 3 ay sonra istmosel oluşumuyla ilişkili bazı faktörleri belirlemekti. Gereç ve Yöntemler: Bu, Mayıs 2016’dan Mart 2019’a kadar tek bir üçüncü basamak bakım merkezinde fertilite koruma modaliteleri ile yönetilen tüm SSG’lerin prospektif ardışık bir olgu serisidir (n=95). SSG teşhisi konan hastalar belirlendi ve hastaların demografik özelliklerine ilişkin verileri toplamak için ileriye dönük olarak izlendi; ayrıntılı tıbbi, cerrahi ve sosyal geçmiş; semptomlar; SSG teşhisi sırasında ve tedavi sırasında görüntüleme ve laboratuvar parametreleri; tedavi modaliteleri, miyometriyal kalınlık ve isthmosel oluşumu açısından sonuçları. Bulgular: Skar gebeliğini örten ortalama miyometriyal kalınlık, istmosel oluşumu olan grupta anlamlı olarak daha düşüktü, yine skar gebelik tedavisi sonrası isthmosel oluşumu olan grupta da skar gebelik ortalama gestasyonel yaşı anlamlı olarak daha düşüktü (p<0,05). Bazı değişkenler ile istmosel gelişimi arasındaki ilişkileri bulmak için çok değişkenli regresyon analizi yapıldı, analiz, skar gebeliğinin gebelik yaşı ve miyometriyal kalınlığın istmosel oluşumu ile anlamlı şekilde ilişkili olduğunu ortaya koydu. Sonuç: Miyometriyal kalınlık ve skar gebeliğinin gebelik yaşı, tedaviden 3 ay sonra istmosel oluşumu ile anlamlı olarak ilişkili bulunmuştur.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Karakus R, KARAKUŞ S, GÜLER B, Unver G, ÖZKAYA E (2021). Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. , 37 - 43. 10.4274/tjod.galenos.2021.65288
Chicago Karakus Resul,KARAKUŞ Sultan Seren,GÜLER Burak,Unver Gokhan,ÖZKAYA ENIS Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. (2021): 37 - 43. 10.4274/tjod.galenos.2021.65288
MLA Karakus Resul,KARAKUŞ Sultan Seren,GÜLER Burak,Unver Gokhan,ÖZKAYA ENIS Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. , 2021, ss.37 - 43. 10.4274/tjod.galenos.2021.65288
AMA Karakus R,KARAKUŞ S,GÜLER B,Unver G,ÖZKAYA E Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. . 2021; 37 - 43. 10.4274/tjod.galenos.2021.65288
Vancouver Karakus R,KARAKUŞ S,GÜLER B,Unver G,ÖZKAYA E Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. . 2021; 37 - 43. 10.4274/tjod.galenos.2021.65288
IEEE Karakus R,KARAKUŞ S,GÜLER B,Unver G,ÖZKAYA E "Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period." , ss.37 - 43, 2021. 10.4274/tjod.galenos.2021.65288
ISNAD Karakus, Resul vd. "Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period". (2021), 37-43. https://doi.org/10.4274/tjod.galenos.2021.65288
APA Karakus R, KARAKUŞ S, GÜLER B, Unver G, ÖZKAYA E (2021). Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. Turkish Journal of Obstetrics and Gynecology, 18(1), 37 - 43. 10.4274/tjod.galenos.2021.65288
Chicago Karakus Resul,KARAKUŞ Sultan Seren,GÜLER Burak,Unver Gokhan,ÖZKAYA ENIS Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. Turkish Journal of Obstetrics and Gynecology 18, no.1 (2021): 37 - 43. 10.4274/tjod.galenos.2021.65288
MLA Karakus Resul,KARAKUŞ Sultan Seren,GÜLER Burak,Unver Gokhan,ÖZKAYA ENIS Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. Turkish Journal of Obstetrics and Gynecology, vol.18, no.1, 2021, ss.37 - 43. 10.4274/tjod.galenos.2021.65288
AMA Karakus R,KARAKUŞ S,GÜLER B,Unver G,ÖZKAYA E Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. Turkish Journal of Obstetrics and Gynecology. 2021; 18(1): 37 - 43. 10.4274/tjod.galenos.2021.65288
Vancouver Karakus R,KARAKUŞ S,GÜLER B,Unver G,ÖZKAYA E Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period. Turkish Journal of Obstetrics and Gynecology. 2021; 18(1): 37 - 43. 10.4274/tjod.galenos.2021.65288
IEEE Karakus R,KARAKUŞ S,GÜLER B,Unver G,ÖZKAYA E "Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period." Turkish Journal of Obstetrics and Gynecology, 18, ss.37 - 43, 2021. 10.4274/tjod.galenos.2021.65288
ISNAD Karakus, Resul vd. "Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period". Turkish Journal of Obstetrics and Gynecology 18/1 (2021), 37-43. https://doi.org/10.4274/tjod.galenos.2021.65288