PMID- 38369245
OWN - NLM
STAT- MEDLINE
DCOM- 20240425
LR  - 20240425
IS  - 2468-7847 (Electronic)
IS  - 2468-7847 (Linking)
VI  - 53
IP  - 5
DP  - 2024 May
TI  - Ultrasound-guided suction curettage followed by cervico-isthmic placement of 
      foley threeway catheter for cesarean scar pregnancy's treatment. Retrospective 
      study.
PG  - 102746
LID - S2468-7847(24)00025-4 [pii]
LID - 10.1016/j.jogoh.2024.102746 [doi]
AB  - OBJECTIVES: Cesarean scar pregnancy (CSP) is a rare dangerous condition with 
      still no consensus on standard treatment. Suction curettage has been used as the 
      first-line treatment for CSP with controversial outcomes. This study evaluates 
      efficacy of ultrasound-guided suction curettage (UGSC) followed by 
      cervical-isthmic placement of silicon semirigid three-way foley catheter. 
      MATERIALS AND METHODS: This study included 24 women with CSP. Preoperative 
      ultrasound study was conducted. UGSC followed by placement of catheter was 
      performed in all patients. The success rate and incidence of major complication, 
      surgical time and hospital stay were recorded. RESULTS: The success rate of UGSC 
      followed by placement of foley catheter was 100 %, effectively reduced major 
      complications and none of the patients had a blood loss higher than 900 ml. 
      Median hospital stay was 2 days and median foley stay was 1 day. Surgery had 
      limited last with a median of 17 min. CONCLUSION: UGSC followed by foley 
      placement is a safe effective treatment for CSP with a clinical resolution of 100 
      %. The catheter is easy to place under ultrasound guidance and prevents bleeding, 
      reducing major procedures to solve the bleeding. Suction curettage in CSP 
      treatment should be performed under ultrasound guidance and followed by 
      cervical-isthmic placement of foley balloon.
CI  - Copyright (c) 2024. Published by Elsevier Masson SAS.
FAU - Carletti, Valerio
AU  - Carletti V
AD  - Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy; 
      Department of Obstetrics and Gynecology, Azienda Ospedaliera San Giovanni 
      Addolorata, Rome, Italy. Electronic address: valeriocarletti10@gmail.com.
FAU - Yacoub, Veronica
AU  - Yacoub V
AD  - Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy; 
      Department of Obstetrics and Gynecology, Azienda Ospedaliera San Giovanni 
      Addolorata, Rome, Italy.
FAU - Lopizzo, Paola
AU  - Lopizzo P
AD  - Department of Obstetrics and Gynecology, Azienda Ospedaliera San Giovanni 
      Addolorata, Rome, Italy.
LA  - eng
PT  - Journal Article
DEP - 20240216
PL  - France
TA  - J Gynecol Obstet Hum Reprod
JT  - Journal of gynecology obstetrics and human reproduction
JID - 101701588
SB  - IM
MH  - Humans
MH  - Female
MH  - Pregnancy
MH  - *Cesarean Section/adverse effects
MH  - *Cicatrix/etiology
MH  - Adult
MH  - Retrospective Studies
MH  - *Vacuum Curettage/methods
MH  - *Pregnancy, Ectopic/surgery/etiology
MH  - *Ultrasonography, Interventional/methods
MH  - Length of Stay/statistics & numerical data
MH  - Urinary Catheterization/methods
MH  - Cervix Uteri/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Bleeding
OT  - Cesarean scar pregnancy
OT  - Ectopic pregnancy
OT  - Foley catheter
OT  - Ultrasound-guided suction curettage
EDAT- 2024/02/19 00:42
MHDA- 2024/04/26 00:52
CRDT- 2024/02/18 19:19
PHST- 2023/11/14 00:00 [received]
PHST- 2024/02/15 00:00 [revised]
PHST- 2024/02/15 00:00 [accepted]
PHST- 2024/04/26 00:52 [medline]
PHST- 2024/02/19 00:42 [pubmed]
PHST- 2024/02/18 19:19 [entrez]
AID - S2468-7847(24)00025-4 [pii]
AID - 10.1016/j.jogoh.2024.102746 [doi]
PST - ppublish
SO  - J Gynecol Obstet Hum Reprod. 2024 May;53(5):102746. doi: 
      10.1016/j.jogoh.2024.102746. Epub 2024 Feb 16.