Surgical Management of Cesarean Scar Ectopic Pregnancy: Hysteroscopy & Laparoscopy Outcomes

Surgical Outcomes of Simultaneous Hysteroscopy/Laparoscopy for Cesarean-Section Niche Ectopic Pregnancy Management and Uterine Niche Repair

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07095647

Enrollment

Registered

2025-07-31

Start date

2024-10-01

Completion date

2025-05-20

Last updated

2025-07-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cesarean Section Complications

Brief summary

The study investigates the feasibility, safety, and outcomes of a simultaneous surgical approach for cesarean scar ectopic pregnancy (CSEP). CSEP is a prevalent and serious form of ectopic pregnancy requiring swift intervention. The research explores using hysteroscopy and laparoscopy concurrently to manage the CSEP and repair the uterine scar defect. The procedure involved hysteroscopic-guided evacuation and a double-layer laparoscopic repair, followed by a second hysteroscopy to confirm the repair's effectiveness.

Interventions

PROCEDUREHysteroscopy

Hysteroscopic-guided suction evacuation and double-layer laparoscopic repair of the niche were performed concomitantly and followed by second-look hysteroscopy to ensure the competence of the repair.

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

FEMALE

Age

25 Years to 55 Years

Healthy volunteers

Yes

Inclusion criteria

* Patients with positive clinical and lab pregnancy diagnosis; * Patients with history of at least one previous Cesarean section; * Patients with Transvaginal ultrasound documenting Cesarean scar ectopic Pregnancy;

Exclusion criteria

* Patients with were extensive adhesions between the mass and the urinary bladder on MRI; * Patients with myomas, polyps, endometrial hyperplasia, and cancers of the cervix or endometrium; * Patients with a body mass index (BMI) of \>35kg/m2; * Patients with previous abdominal surgeries with possible difficulties during laparoscopy; * Patients with menstrual irregularities, or coagulation disorders.

Design outcomes

Primary

Measure	Time frame	Description
Success Rate of Hysteroscopy in Restoring the normal endometrial metrics, and removing any uterine defects.	6~7 months	The proportion of patients who restored their normal endometrial metrics and removed any uterine scars during the study, reflecting the effectiveness of the applied Hystreoscopy regimens.

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026