Xin yixue (Apr 2024)
Safety and feasibility of transumbilical single-port laparoscopic uterine artery embolization combined with surgical embryo retrieval for the treatment of cesarean scar pregnancy
Abstract
Objective To evaluate the safety and feasibility of transumbilical single-port laparoscopic uterine artery embolization combined with incision and embryo retrieval in the treatment of cesarean scar pregnancy. Methods Eleven patients with cesarean scar pregnancy who underwent transumbilical single-hole laparoscopic uterine artery embolization combined with incision and embryo retrieval were recruited in the study group， and ten patients who underwent multi-hole laparoscopic uterine artery embolization combined with incision and embryo retrieval were assigned into the control group. Baseline data and perioperative clinical data were compared between two groups. Results No significant differences were found in age， number of pregnancies， number of cesarean sections， time interval from last cesarean section， clinical classification， number of days of menopause， and the presence or absence of symptoms of vaginal bleeding between two groups （all P > 0.05）. No significant differences were observed in operation time， intraoperative bleeding and postoperative retention time of catheterization between two groups （all P > 0.05）. In the study group， postoperative numeric rating scale （NRS） score was significantly lower and the length of hospital stay was significantly shorter compared with those in the control group （both P < 0.05）. Conclusions Compared with traditional multi-port laparoscopic uterine artery embolization combined with incision and embryo retrieval， transumbilical single-port laparoscopic uterine artery embolization combined with incision and embryo retrieval is a feasible and safe procedure， which can alleviate postoperative pain， shortern the length of hospital stay and yield better cosmetic results.
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