Successful treatment of endogenous cesarean scar pregnancies with transabdominal ultrasound-guided suction curettage alone

Objective: To investigate the efficacy and safety of transabdominal ultrasound-guided suction curettage alone in endogenous cesarean scar pregnancy (CSP). Study design: From 2009 to 2013, 21 women with endogenous CSP who had no other therapy underwent suction curettage alone guided with transabdominal ultrasound. Results: All patients were successfully treated with suction curettage alone. No one needed emergency blood transfusion or uterine artery embolization. The average gestational age was 51.1 +/- 7.56 days. The mean thickness of the lower anterior uterine wall was 0.5 cm, ranging from 0.3 cm to 0.9 cm. The average blood loss during surgery was 81.3 +/- 33.5 (30-150) ml. The mean time for achieving a normal beta-HCG level was 26.9 days. Conclusion: Transadominal ultrasound-guided suction curettage was a feasible and effective method for lower risk endogenous CSP patients with the myometrial layer between the gestational sac and the bladder more than 3 mm before 10 gestational weeks. (C) 2014 Elsevier Ireland Ltd. All rights reserved.