PMC6333565_01
Laparoscopic excision of cesarean scar pregnancy under TOUA. (A) Laparoscopy revealed a violet lesion in the lower segment of the uterus. (B) Postsutured uterus after removal of both vascular clips on the uterine arteries.
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F1
The incised area, cesarean scar was sutured with two layers, including a continuous suture of inner myometrium, and a continuous interlocking suture of outer myometrium and serosa (Figure 1).
PMC6333565_02
Hydatidiform mole on a cesarean scar. (A) Initial ultrasonography showing enlarged uterus with a heterogenous mass containing multiple cystic lesions. (B) Ultrasonography after transcervical extirpation with laparoscopic TOUA. (C) Laparoscopy revealed a slight swelling in the lower segment. (D) Postsutured defect of the lower segment after vascular clip removal.
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F2
The sonogram showed a heterogeneous mass with multiple small cystic areas (Figure 2). There was a 3 x 2-cm remnant hydatidiform molar mass in the anterior lower segment (Figure 2).
PMC6333565_03
Cervical pregnancy. (A) Laparoscopy, after incision into the cervix, revealed a gestational sac lesion. (B) Postsutured defect of the cervix, after removal of the vascular clips.
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F3
After excision and curettage of the mass, the surgical defect was sutured with a continuous interlocking suture (Figure 3).