Transumbilical single-port vs. conventional laparoscopy for cesarean scar pregnancy

Summaries 2 min 815

Font Size

Created On: 29/07/2025

The goal of this retrospective study was to explore the clinical outcomes and cosmetic effectiveness of transumbilical single-port laparoscopic surgery (TSPLS) versus conventional multi-port laparoscopy in cesarean scar pregnancy.

See All

Key take away

For type II and III cesarean scar pregnancy, transumbilical single-port laparoscopic surgery ensures aesthetic advantages while maintaining comparable surgical and recovery outcomes when compared to conventional laparoscopy.

Background

Method

Researchers analyzed data from 39 patients diagnosed with type II or III CSP who underwent surgical treatment. Based on patient preference, volunteers were divided into two groups: Group A (n = 15) received TSPLS, while Group B (n = 24) underwent standard laparoscopic surgery. Both groups had cesarean scar pregnancy lesions removed and the lower uterine segment reconstructed using plastic surgery techniques.

Uterine artery preligation was executed selectively based on intraoperative bleeding and individual condition. Key variables compared between the groups encompassed surgical duration, preoperative intervention, intraoperative blood loss, decrease in serum beta-human chorionic gonadotropin (β-hCG) levels, duration of postoperative vaginal bleeding, time to intestinal gas passage, length of hospital stay, incidence of complications, and cosmetic outcomes linked to the surgical scar.

Result

Compared to Group B, Group A demonstrated remarkably better scar appearance scores. No statistically significant differences were noted between the groups in terms of intraoperative blood loss, reduction in β-hCG levels, hemoglobin drop, C-reactive protein elevation, duration of vaginal bleeding, intestinal recovery time, hospital stay, or postoperative complications. However, the operative time was marginally longer in Group A.

Conclusion

Transumbilical single-port laparoscopy offers superior cosmetic outcomes compared to traditional multi-port laparoscopic surgery, with comparable safety and recovery profiles. These findings support its potential value as a viable clinical option for treating type II and III cesarean scar pregnancy.