Evaluation of the transvaginal resection of low-segment cesarean scar ectopic pregnancies  Dan-Bo Wang, M.D., Ph.D., Ying-Han Chen, M.D., Zhi-Fang Zhang, M.D., Peng Chen, M.D., Kui-Ran Liu, M.D., Yan Li, M.D., Li Fu, M.D.  Fertility and Sterility  Volume 101, Issue 2, Pages 602-606 (February 2014) DOI: 10.1016/j.fertnstert.2013.10.024 Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Figure 1 (A) Magnetic resonance imaging shows that the lesion is exogenous and that the cesarean scar thickness is <0.5 cm. (B) Vaginal mucosa was incised, and the vaginal–bladder interface was visualized. (C) The CSEP was identified as a thin, soft, purple bulge located in the isthmus of the lower uterine segment. (D) Scar tissue was excised after complete exposure. Fertility and Sterility 2014 101, 602-606DOI: (10.1016/j.fertnstert.2013.10.024) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Figure 2 (A) Scar resection should be performed carefully to reduce the risk of vesicouterine–peritoneal fold rupture. (B) Myometrial incision was closed with a continuous suture from both sides to the middle and knotted in the middle. (C) A 1-cm incision was made without any suturing to place a “T”-type drainage tube. (D) Ectopic pregnancy tissue and scar tissue. Fertility and Sterility 2014 101, 602-606DOI: (10.1016/j.fertnstert.2013.10.024) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions