Cesarean Scar Ectopic Pregnancy - Operative Management with Bilateral Temporary Iliac Artery Occlusion

Abstract

Objective: The paper describes management of cesarean scar pregnancy with bilateral internal iliac artery occlusion prior to operative removal of the gestational sac.Methods: Both internal iliac arteries were temporally occluded before the operation to assure perioperative bleeding control.Results: The bleeding was well controlled during the operation and the cesarean scar pregnancy was safely removed. The anterior uterine wall healed completely within 8 weeks postoperatively. The total blood loss was approximatey 1150 ml.Conclusions: Bilateral internal iliac artery occlusion is a safe and effective method of perioperative bleeding control in patients diagnosed with cesarean scar pregnancy.