Successful live birth following robotic-assisted management of a cesarean scar pregnancy: a promising pathway

IF 1.6 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of gynecology obstetrics and human reproduction Pub Date : 2026-05-01 Epub Date: 2026-02-05 DOI:10.1016/j.jogoh.2026.103131

Antonella Iannaccone , Paul Buderath , Martin W. Britten , Alberto Spina , Katharina Krempel , Zeynep Atas Elfrink , Angela Köninger , Rainer Kimmig , Roland Csorba

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引用次数: 0

Abstract

Cesarean scar pregnancy (CSP) is a variant of uterine ectopic pregnancy defined by full or partial implantation of the gestational sac in the scar of a previous cesarean section. The most usual recommendation is termination of pregnancy in the first trimester.

In this article, we present a case of live birth after detecting CSP in early pregnancy and robotic scar reinforcement surgery, effectively relocating the pregnancy into the cavum. At 25+3 gestational weeks, an emergency caesarean section was performed. A girl weighing 800 g was delivered with APGAR 7/7/9. The percrete area of the placenta was excised and the uterus could be preserved.

Prolongation of CSP and consecutive live birth is feasible and can be achieved. Using robotic surgical approach for both the scar reinforcement surgery as well as the surveillance of the pregnancy including caesarean section with management of placenta percreta require high expertise and specialized centres.

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机器人辅助剖宫产疤痕妊娠后成功活产：一条有希望的途径。

剖宫产疤痕妊娠（CSP）是子宫异位妊娠的一种变体，其定义为以前剖宫产的疤痕中完全或部分植入妊娠囊。最常见的建议是在妊娠早期终止妊娠。在本文中，我们报告了一例在妊娠早期检测到CSP并进行机器人疤痕加固手术后，有效地将妊娠植入腔内的活产病例。在妊娠25+3周时，进行了紧急剖腹产手术。一个体重800克的女孩出生时患有APGAR 7/7/9。切除胎盘的完整区域，保留子宫。延长CSP和连续活产是可行的，也是可以实现的。使用机器人手术方法进行疤痕加固手术以及妊娠监测，包括剖宫产和percreta管理，需要高水平的专业知识和专业中心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gynecology obstetrics and human reproduction Medicine-Obstetrics and Gynecology

CiteScore

3.70

自引率

5.30%

发文量

210

审稿时长

31 days

期刊介绍： Formerly known as Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Journal of Gynecology Obstetrics and Human Reproduction is the official Academic publication of the French College of Obstetricians and Gynecologists (Collège National des Gynécologues et Obstétriciens Français / CNGOF). J Gynecol Obstet Hum Reprod publishes monthly, in English, research papers and techniques in the fields of Gynecology, Obstetrics, Neonatology and Human Reproduction: (guest) editorials, original articles, reviews, updates, technical notes, case reports, letters to the editor and guidelines. Original works include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses.