Surgical Management of Cesarean Scar Ectopic Pregnancy: Hysteroscopy & Laparoscopy Outcomes

Not Applicable

Completed

• Conditions: Cesarean Section Complications

• Registration Number: NCT07095647
• Lead Sponsor: Benha University

Brief Summary

The study investigates the feasibility, safety, and outcomes of a simultaneous surgical approach for cesarean scar ectopic pregnancy (CSEP). CSEP is a prevalent and serious form of ectopic pregnancy requiring swift intervention. The research explores using hysteroscopy and laparoscopy concurrently to manage the CSEP and repair the uterine scar defect. The procedure involved hysteroscopic-guided evacuation and a double-layer laparoscopic repair, followed by a second hysteroscopy to confirm the repair's effectiveness.

Detailed Description

Not available

Study Timeline

• Study Start: 2024-10-01
• Primary Completion: 2025-04-15
• Study Completion: 2025-05-20
• Status Verified: 2025-07
• Study First Submitted: 2025-07-30
• Study First Submitted QC: 2025-07-30
• Last Update Submitted: 2025-07-30
• Study First Posted: 2025-07-31
• Last Update Posted: 2025-07-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 47

Inclusion Criteria

• Patients with positive clinical and lab pregnancy diagnosis;
• Patients with history of at least one previous Cesarean section;
• Patients with Transvaginal ultrasound documenting Cesarean scar ectopic Pregnancy;

Exclusion Criteria

• Patients with were extensive adhesions between the mass and the urinary bladder on MRI;
• Patients with myomas, polyps, endometrial hyperplasia, and cancers of the cervix or endometrium;
• Patients with a body mass index (BMI) of >35kg/m2;
• Patients with previous abdominal surgeries with possible difficulties during laparoscopy;
• Patients with menstrual irregularities, or coagulation disorders.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Success Rate of Hysteroscopy in Restoring the normal endometrial metrics, and removing any uterine defects.	6~7 months	The proportion of patients who restored their normal endometrial metrics and removed any uterine scars during the study, reflecting the effectiveness of the applied Hystreoscopy regimens.

Trial Locations

Locations (1)

Banha University; 🇪🇬 Banhā, El- qalyobia, Egypt