Ultrasound-Guided Vacuum Aspiration of Cesarean Scar Ectopic Pregnancy - A prospective interventional study
Ahmed, A., Y. M, M., Taman, M., Mashaly, A., El-Zayadi, A. (2025). Ultrasound-Guided Vacuum Aspiration of Cesarean Scar Ectopic Pregnancy - A prospective interventional study. EKB Journal Management System, 29(5), 51-60. doi: 10.21608/egyfs.2025.457888
Ahmed Tawfik Ahmed; Mesbah Y. M; Mohamed Taman; Ahmed R Mashaly; Ahmed El-Zayadi. "Ultrasound-Guided Vacuum Aspiration of Cesarean Scar Ectopic Pregnancy - A prospective interventional study". EKB Journal Management System, 29, 5, 2025, 51-60. doi: 10.21608/egyfs.2025.457888
Ahmed, A., Y. M, M., Taman, M., Mashaly, A., El-Zayadi, A. (2025). 'Ultrasound-Guided Vacuum Aspiration of Cesarean Scar Ectopic Pregnancy - A prospective interventional study', EKB Journal Management System, 29(5), pp. 51-60. doi: 10.21608/egyfs.2025.457888
Ahmed, A., Y. M, M., Taman, M., Mashaly, A., El-Zayadi, A. Ultrasound-Guided Vacuum Aspiration of Cesarean Scar Ectopic Pregnancy - A prospective interventional study. EKB Journal Management System, 2025; 29(5): 51-60. doi: 10.21608/egyfs.2025.457888

Ultrasound-Guided Vacuum Aspiration of Cesarean Scar Ectopic Pregnancy - A prospective interventional study

The Egyptian Journal of Fertility and Sterility
Volume 29, Issue 5 - Serial Number 11106352, September 2025, Pages 51-60    PDF (270.27 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2025.457888
Authors
Ahmed Tawfik Ahmed* 1; Mesbah Y. M2; Mohamed Taman2; Ahmed R Mashaly3; Ahmed El-Zayadi2
1Department of Obstetrics and Gynecology, Faculty of medicine Mansoura University
2Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University
3Obstetrics and Gynecology Department, Damanhour National Medical Institute, Egypt
Abstract
Objective: This study aimed to describe cases of caesar-ean scar pregnancies (CSP) that were successfully treated with ultrasound (US)-guided manual vacuum aspiration (USG-MVA) and their outcome.   
Methods: This prospective interventional study was per-formed on 26 patients diagnosed with caesarean scar ecto-pic pregnancy in Department of Obstetrics and Gynecolo-gy, Faculty of medicine, Mansoura University, Mansoura, Egypt from 1/10/2023 to 1/10/2024. The patients’ socio-demographic and clinical data were collected. The pa-tients were treated with suction curettage guided-US.   
Results: The complications were reported in 2 patients. As regard the postoperative ultrasound findings, scar he-matoma was detected in 18 patients (69.2%). The median preoperative B-hCG titre was 7903 and this level showed high statistically significant decrease postoperatively [2385 (6 – 6825)] (P < 0.001). There was no significant difference between the cases underwent MVA + metho-trexate (MTX) or who treated with MVA alone regarding the preoperative (p= 0.086) and postoperative B-hCG ti-tre (p= 0.075). 
Conclusion: Cesarean scar ectopic pregnancy (CSEP) is a critical and complicated disorder with an increasing fre-quency nowadays. Precise early diagnosis and efficient management are of great importance to decrease maternal morbimortality of this type of pregnancy. 
Synopsis: Vasoprectively. 
Keywords
Scar ectopic pregnancy; cesarean section; fe-tal viability; ultrasonography; methotrexate
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