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Outcomes of primary surgical evacuation during the first trimester in different types of implantation in women with cesarean scar pregnancy  Ling-Yun.

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Presentation on theme: "Outcomes of primary surgical evacuation during the first trimester in different types of implantation in women with cesarean scar pregnancy  Ling-Yun."— Presentation transcript:

1 Outcomes of primary surgical evacuation during the first trimester in different types of implantation in women with cesarean scar pregnancy  Ling-Yun Cheng, M.D., Chen-Bin Wang, M.D., Li-Ching Chu, M.D., Chih-Wen Tseng, M.D., Fu-Tsai Kung, M.D.  Fertility and Sterility  Volume 102, Issue 4, Pages e2 (October 2014) DOI: /j.fertnstert Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Superficially implanted Cesarean scar pregnancies. (A) Schematic representation of a gestational sac surrounding the myometrial defect with a bulging toward the endometrial cavity. (B) A dumbbell-shaped gestational sac of gestational age 5 weeks in a low-segment uterine scar defect. (C) Hysteroscopy with the use of fluid medium, showing an ectopic gestation hanging from the anterior uterine defect. Fertility and Sterility  , e2DOI: ( /j.fertnstert ) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 Deeply implanted cesarean scar pregnancies. (A) Schematic drawing illustrating the invasion of gestational trophoblasts through a microdehiscence, well circumscribed by the myometrial tissues of the uterus. (B) Color Doppler image showing extensive neovascularization encircling the gestational sac. Fertility and Sterility  , e2DOI: ( /j.fertnstert ) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

4 Figure 3 Patient flow chart showing the disposition of our study population. Fertility and Sterility  , e2DOI: ( /j.fertnstert ) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions


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