Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period
To determine some associated factors for isthmocele formation 3 months after the treatment of cesarean scar pregnancy (CSP). This is a prospective consecutive case series of CSP managed by fertility preservation modalities at a single tertiary care center from May 2016 to March 2019 (n=95). Patients...
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Veröffentlicht in: | Journal of Turkish Society of Obstetric and Gynecology 2021-03, Vol.18 (1), p.37-43 |
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creator | Karakuş, Resul Karakuş, Sultan Seren Güler, Burak Ünver, Gökhan Özkaya, Enis |
description | To determine some associated factors for isthmocele formation 3 months after the treatment of cesarean scar pregnancy (CSP).
This is a prospective consecutive case series of CSP managed by fertility preservation modalities at a single tertiary care center from May 2016 to March 2019 (n=95). Patients with a diagnosis of CSP were identified and followed prospectively to collect data on the patients' demographics; detailed medical, surgical, and social history; symptoms; imaging and laboratory parameters at the time of CSP diagnosis and during treatment; treatment modalities, myometrial thickness; and outcomes in terms of isthmocele formation.
Mean myometrial thickness overlying scar pregnancy was significantly lower in the group with isthmocele formation, and the mean gestational age of scar pregnancy was also significantly lower in the group with isthmocele formation following treatment of scar pregnancy (p |
doi_str_mv | 10.4274/tjod.galenos.2021.65288 |
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This is a prospective consecutive case series of CSP managed by fertility preservation modalities at a single tertiary care center from May 2016 to March 2019 (n=95). Patients with a diagnosis of CSP were identified and followed prospectively to collect data on the patients' demographics; detailed medical, surgical, and social history; symptoms; imaging and laboratory parameters at the time of CSP diagnosis and during treatment; treatment modalities, myometrial thickness; and outcomes in terms of isthmocele formation.
Mean myometrial thickness overlying scar pregnancy was significantly lower in the group with isthmocele formation, and the mean gestational age of scar pregnancy was also significantly lower in the group with isthmocele formation following treatment of scar pregnancy (p<0.05). Multivariate regression analysis was conducted to determine associations between certain variables and isthmocele development, which revealed that the gestational age of scar pregnancy and myometrial thickness were significantly associated with isthmocele formation.
Myometrial thickness and gestational age of scar pregnancy were significantly associated with isthmocele formation 3 months after treatment.</description><identifier>ISSN: 2149-9322</identifier><identifier>ISSN: 1307-699X</identifier><identifier>EISSN: 2149-9330</identifier><identifier>DOI: 10.4274/tjod.galenos.2021.65288</identifier><identifier>PMID: 33715331</identifier><language>eng</language><publisher>Turkey: Türk Jinekoloji ve Obstetrik Derneği</publisher><subject>Cesarean section ; Clinical Investigation ; Data analysis ; Gestational age ; Health sciences ; Kadın Hastalıkları ; Laparoscopy ; Parity ; Patients ; Pregnancy complications ; Regression analysis ; Tıp ; Ultrasonic imaging ; Vagina ; Womens health</subject><ispartof>Journal of Turkish Society of Obstetric and Gynecology, 2021-03, Vol.18 (1), p.37-43</ispartof><rights>2021. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2021 by Turkish Society of Obstetrics and Gynecology | Turkish Journal of Obstetrics and Gynecology published by Galenos Publishing House. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-a1109e0568c7479065db18e23e259dc963fda0ccc9cd2d46d3f895ace171bd963</citedby><orcidid>0000-0001-6580-1237 ; 0000-0003-2654-6119</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7962161/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7962161/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33715331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Çalışkan,Eray</contributor><creatorcontrib>Karakuş, Resul</creatorcontrib><creatorcontrib>Karakuş, Sultan Seren</creatorcontrib><creatorcontrib>Güler, Burak</creatorcontrib><creatorcontrib>Ünver, Gökhan</creatorcontrib><creatorcontrib>Özkaya, Enis</creatorcontrib><title>Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period</title><title>Journal of Turkish Society of Obstetric and Gynecology</title><addtitle>Turk J Obstet Gynecol</addtitle><description>To determine some associated factors for isthmocele formation 3 months after the treatment of cesarean scar pregnancy (CSP).
This is a prospective consecutive case series of CSP managed by fertility preservation modalities at a single tertiary care center from May 2016 to March 2019 (n=95). Patients with a diagnosis of CSP were identified and followed prospectively to collect data on the patients' demographics; detailed medical, surgical, and social history; symptoms; imaging and laboratory parameters at the time of CSP diagnosis and during treatment; treatment modalities, myometrial thickness; and outcomes in terms of isthmocele formation.
Mean myometrial thickness overlying scar pregnancy was significantly lower in the group with isthmocele formation, and the mean gestational age of scar pregnancy was also significantly lower in the group with isthmocele formation following treatment of scar pregnancy (p<0.05). Multivariate regression analysis was conducted to determine associations between certain variables and isthmocele development, which revealed that the gestational age of scar pregnancy and myometrial thickness were significantly associated with isthmocele formation.
Myometrial thickness and gestational age of scar pregnancy were significantly associated with isthmocele formation 3 months after treatment.</description><subject>Cesarean section</subject><subject>Clinical Investigation</subject><subject>Data analysis</subject><subject>Gestational age</subject><subject>Health sciences</subject><subject>Kadın Hastalıkları</subject><subject>Laparoscopy</subject><subject>Parity</subject><subject>Patients</subject><subject>Pregnancy complications</subject><subject>Regression analysis</subject><subject>Tıp</subject><subject>Ultrasonic imaging</subject><subject>Vagina</subject><subject>Womens health</subject><issn>2149-9322</issn><issn>1307-699X</issn><issn>2149-9330</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdks1uEzEUhUcIRKvSVwBLbNgk-GdmbG-QqrZApSA2sLYc-87EYcYebCdonoWXxUlD-FnZvve75_pIp6peEbysKa_f5m2wy14P4ENaUkzJsm2oEE-qS0pquZCM4afnO6UX1XVKW4wxEZxLQp9XF4xx0jBGLqufn-YwQo5ODyhvnPnmISUU9hCH2fkeGUg6gvYoGR3RFKH32psZuYSS673rnNE-DzPSKQXjdAaLfri8KUDejMHAAKgLcdTZBY-cL0vgsChaNAZfuNAdS1NIOUwQC7cvL4gu2BfVs04PCa5P51X19f39l9uPi9XnDw-3N6uFqbnIC00IloCbVhhec4nbxq6JAMqANtIa2bLOamyMkcZSW7eWdUI22gDhZG1L-6p696g77dYjWAM-Rz2oKbpRx1kF7dS_He82qg97xWVLSUuKwJuTQAzfd5CyGl0q1gftIeySog0mNa8FZQV9_R-6Dbvoiz1FBWOUs_ZInQSdBT0EPzgPf8CHu_ublSJUUCELyh9RE0NKEbrzvwlWh7ioQ1zUKS7qEBd1jEuZfPm37fPc73CwX0vAxGY</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Karakuş, Resul</creator><creator>Karakuş, Sultan Seren</creator><creator>Güler, Burak</creator><creator>Ünver, Gökhan</creator><creator>Özkaya, Enis</creator><general>Türk Jinekoloji ve Obstetrik Derneği</general><general>Galenos Publishing House</general><general>Galenos Publishing</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IEBAR</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6580-1237</orcidid><orcidid>https://orcid.org/0000-0003-2654-6119</orcidid></search><sort><creationdate>20210301</creationdate><title>Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period</title><author>Karakuş, Resul ; Karakuş, Sultan Seren ; Güler, Burak ; Ünver, Gökhan ; Özkaya, Enis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-a1109e0568c7479065db18e23e259dc963fda0ccc9cd2d46d3f895ace171bd963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cesarean section</topic><topic>Clinical Investigation</topic><topic>Data analysis</topic><topic>Gestational age</topic><topic>Health sciences</topic><topic>Kadın Hastalıkları</topic><topic>Laparoscopy</topic><topic>Parity</topic><topic>Patients</topic><topic>Pregnancy complications</topic><topic>Regression analysis</topic><topic>Tıp</topic><topic>Ultrasonic imaging</topic><topic>Vagina</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karakuş, Resul</creatorcontrib><creatorcontrib>Karakuş, Sultan Seren</creatorcontrib><creatorcontrib>Güler, Burak</creatorcontrib><creatorcontrib>Ünver, Gökhan</creatorcontrib><creatorcontrib>Özkaya, Enis</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Idealonline online kütüphane - Journals</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of Turkish Society of Obstetric and Gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karakuş, Resul</au><au>Karakuş, Sultan Seren</au><au>Güler, Burak</au><au>Ünver, Gökhan</au><au>Özkaya, Enis</au><au>Çalışkan,Eray</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period</atitle><jtitle>Journal of Turkish Society of Obstetric and Gynecology</jtitle><addtitle>Turk J Obstet Gynecol</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>18</volume><issue>1</issue><spage>37</spage><epage>43</epage><pages>37-43</pages><issn>2149-9322</issn><issn>1307-699X</issn><eissn>2149-9330</eissn><abstract>To determine some associated factors for isthmocele formation 3 months after the treatment of cesarean scar pregnancy (CSP).
This is a prospective consecutive case series of CSP managed by fertility preservation modalities at a single tertiary care center from May 2016 to March 2019 (n=95). Patients with a diagnosis of CSP were identified and followed prospectively to collect data on the patients' demographics; detailed medical, surgical, and social history; symptoms; imaging and laboratory parameters at the time of CSP diagnosis and during treatment; treatment modalities, myometrial thickness; and outcomes in terms of isthmocele formation.
Mean myometrial thickness overlying scar pregnancy was significantly lower in the group with isthmocele formation, and the mean gestational age of scar pregnancy was also significantly lower in the group with isthmocele formation following treatment of scar pregnancy (p<0.05). Multivariate regression analysis was conducted to determine associations between certain variables and isthmocele development, which revealed that the gestational age of scar pregnancy and myometrial thickness were significantly associated with isthmocele formation.
Myometrial thickness and gestational age of scar pregnancy were significantly associated with isthmocele formation 3 months after treatment.</abstract><cop>Turkey</cop><pub>Türk Jinekoloji ve Obstetrik Derneği</pub><pmid>33715331</pmid><doi>10.4274/tjod.galenos.2021.65288</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6580-1237</orcidid><orcidid>https://orcid.org/0000-0003-2654-6119</orcidid><oa>free_for_read</oa></addata></record> |
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source | PubMed Central; Alma/SFX Local Collection |
subjects | Cesarean section Clinical Investigation Data analysis Gestational age Health sciences Kadın Hastalıkları Laparoscopy Parity Patients Pregnancy complications Regression analysis Tıp Ultrasonic imaging Vagina Womens health |
title | Myometrial thickness overlying cesarean scar pregnancy is significantly associated with isthmocele formation in the third month of the postoperative period |
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