Outcomes of cesarean scar pregnancy treatment: Do we have options?
Yıl: 2021 Cilt: 18 Sayı: 2 Sayfa Aralığı: 85 - 91 Metin Dili: İngilizce DOI: 10.4274/tjod.galenos.2021.77535 İndeks Tarihi: 15-01-2022
Outcomes of cesarean scar pregnancy treatment: Do we have options?
Öz: Objective: To investigate the success and complications of medical and surgical modalities used in the treatment of cesarean scar pregnancies. Materials and Methods: Medical and surgical approaches that have been used to treat cesarean scar pregnancies were evaluated retrospectively, Local, systemic, and combined methotrexate treatments were grouped as the medical approach, and dilatation and evacuation, hysteroscopic resection, laparoscopic and laparotomic approaches were grouped as the surgical approach. Fifty-three patients were diagnosed as having cesarean scar pregnancy during the study period, 48 of whom were included in the final analysis. Eighteen patients were treated with medical interventions and 30 patients were treated surgically. Results: The success rate of surgical modalities was 96.6% and the medical treatment success was 33% (p<0.001). The complication rate was higher with medical approaches compared with surgical methods (66% vs 3.3%, respectively; p<0.001). Conclusion: Surgical intervention seems safer and more successful than medical treatment.
Anahtar Kelime: Sezaryen skar gebelik tedavisi: Seçeneklerimiz neler?
Öz: Amaç: Sezaryen skar gebeliklerin tedavisinde yararlanılan medikal ve cerrahi yöntemlerin etkinlik ve komplikasyonlarının incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Sezaryen skar gebelik tanısı alan toplam 53 hastanın verisi retrospektif olarak incelenmiştir. Lokal, sistemik ve combine metotreksat medikal yaklaşım olarak sınıflandırılırken; dilatasyon evakuasyon, histereskopik rezeksiyon, laparoskopik ve laparotomik rezeksiyon cerrahi yaklaşım olarak sınıflandırılmıştır. Elli üç hastanın 48’inin verisi final analizde yer almıştır. On sekiz hasta medikal, otuz hasta ise cerrahi yaklaşım grubunda bulunmaktadır. Bulgular: Cerrahi yaklaşım ile tedavi edilen hastalarda tedavi başarısı %96,6 iken; medikal yöntemlerin kullanıldığı hastalarda tedavi başarısı %33 olarak bulunmuştur (p<0,001). Komplikasyon oranları ise medikal ve cerrahi grupta sırası ile %66 ve %33 olarak belirlenmiştir (p<0,001). Sonuç: Sezaryen skar gebeliklerin tedavisinde cerrahi yöntemler medikal yaklaşımlara göre daha başarılı ve güvenlidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | yuksel simsek s, simsek e, ALKAŞ YAĞINÇ D, Yılmaz Baran Ş, Cok T, Bulgan KILIÇDAĞ E (2021). Outcomes of cesarean scar pregnancy treatment: Do we have options?. , 85 - 91. 10.4274/tjod.galenos.2021.77535 |
| Chicago | yuksel simsek seda,simsek erhan,ALKAŞ YAĞINÇ DİDEM,Yılmaz Baran Şafak,Cok Tayfun,Bulgan KILIÇDAĞ Esra Outcomes of cesarean scar pregnancy treatment: Do we have options?. (2021): 85 - 91. 10.4274/tjod.galenos.2021.77535 |
| MLA | yuksel simsek seda,simsek erhan,ALKAŞ YAĞINÇ DİDEM,Yılmaz Baran Şafak,Cok Tayfun,Bulgan KILIÇDAĞ Esra Outcomes of cesarean scar pregnancy treatment: Do we have options?. , 2021, ss.85 - 91. 10.4274/tjod.galenos.2021.77535 |
| AMA | yuksel simsek s,simsek e,ALKAŞ YAĞINÇ D,Yılmaz Baran Ş,Cok T,Bulgan KILIÇDAĞ E Outcomes of cesarean scar pregnancy treatment: Do we have options?. . 2021; 85 - 91. 10.4274/tjod.galenos.2021.77535 |
| Vancouver | yuksel simsek s,simsek e,ALKAŞ YAĞINÇ D,Yılmaz Baran Ş,Cok T,Bulgan KILIÇDAĞ E Outcomes of cesarean scar pregnancy treatment: Do we have options?. . 2021; 85 - 91. 10.4274/tjod.galenos.2021.77535 |
| IEEE | yuksel simsek s,simsek e,ALKAŞ YAĞINÇ D,Yılmaz Baran Ş,Cok T,Bulgan KILIÇDAĞ E "Outcomes of cesarean scar pregnancy treatment: Do we have options?." , ss.85 - 91, 2021. 10.4274/tjod.galenos.2021.77535 |
| ISNAD | yuksel simsek, seda vd. "Outcomes of cesarean scar pregnancy treatment: Do we have options?". (2021), 85-91. https://doi.org/10.4274/tjod.galenos.2021.77535 |
| APA | yuksel simsek s, simsek e, ALKAŞ YAĞINÇ D, Yılmaz Baran Ş, Cok T, Bulgan KILIÇDAĞ E (2021). Outcomes of cesarean scar pregnancy treatment: Do we have options?. Turkish Journal of Obstetrics and Gynecology, 18(2), 85 - 91. 10.4274/tjod.galenos.2021.77535 |
| Chicago | yuksel simsek seda,simsek erhan,ALKAŞ YAĞINÇ DİDEM,Yılmaz Baran Şafak,Cok Tayfun,Bulgan KILIÇDAĞ Esra Outcomes of cesarean scar pregnancy treatment: Do we have options?. Turkish Journal of Obstetrics and Gynecology 18, no.2 (2021): 85 - 91. 10.4274/tjod.galenos.2021.77535 |
| MLA | yuksel simsek seda,simsek erhan,ALKAŞ YAĞINÇ DİDEM,Yılmaz Baran Şafak,Cok Tayfun,Bulgan KILIÇDAĞ Esra Outcomes of cesarean scar pregnancy treatment: Do we have options?. Turkish Journal of Obstetrics and Gynecology, vol.18, no.2, 2021, ss.85 - 91. 10.4274/tjod.galenos.2021.77535 |
| AMA | yuksel simsek s,simsek e,ALKAŞ YAĞINÇ D,Yılmaz Baran Ş,Cok T,Bulgan KILIÇDAĞ E Outcomes of cesarean scar pregnancy treatment: Do we have options?. Turkish Journal of Obstetrics and Gynecology. 2021; 18(2): 85 - 91. 10.4274/tjod.galenos.2021.77535 |
| Vancouver | yuksel simsek s,simsek e,ALKAŞ YAĞINÇ D,Yılmaz Baran Ş,Cok T,Bulgan KILIÇDAĞ E Outcomes of cesarean scar pregnancy treatment: Do we have options?. Turkish Journal of Obstetrics and Gynecology. 2021; 18(2): 85 - 91. 10.4274/tjod.galenos.2021.77535 |
| IEEE | yuksel simsek s,simsek e,ALKAŞ YAĞINÇ D,Yılmaz Baran Ş,Cok T,Bulgan KILIÇDAĞ E "Outcomes of cesarean scar pregnancy treatment: Do we have options?." Turkish Journal of Obstetrics and Gynecology, 18, ss.85 - 91, 2021. 10.4274/tjod.galenos.2021.77535 |
| ISNAD | yuksel simsek, seda vd. "Outcomes of cesarean scar pregnancy treatment: Do we have options?". Turkish Journal of Obstetrics and Gynecology 18/2 (2021), 85-91. https://doi.org/10.4274/tjod.galenos.2021.77535 |
