[Treating of 20 cases of uterine scar pregnancy by laparoscopic folding and suture of the lower segment of the uterus].

Objective

To explore a new surgical method to treat cesarean scar pregnancy (CSP) by laparoscopic surgery. Method: The clinical data of 20 patients with CSP treated by laparoscopic subsegmental muscle folding and suture between January 2015 and June 2018 in our hospital were retrospectively analyzed.

Results

Abortion was performed in 20 patients with CSP after laparoscopic suture of the lower segment of the uterus, the results was satisfying.Operation time was short, average (47±11) minutes.Bleeding was less, average (40±17) ml.Human chorionic gonadotropin (HCG) decreased well after operation.Color ultrasound examination was performed 3 months after the operation.The subuterine muscle layer healed well and the thickness was normal, average (3.9±0.3) mm.

Conclusion

The operation is easy to be grasped.While repairing the muscular layer of the lower segment of the uterus, the pregnancy capsules between the muscle walls were pushed back into the uterine cavity and induced abortion was performed.Both approaches repair the weak myometrium and it can be routinely performed artificial abortion surgery.The operation time is short, the wound of the patient is small, the postoperative recovery is quick, and the lower segment of the uterus is not damaged again.The laparoscopic suture of the lower segment of the uterus and induced abortion are easy to be popularized in the primary surgery.