Abstract
The identification and reporting of Caesarean scar pregnancies (CSP) has increased dramatically with time. Methods of treatment include expectant, medical, surgical or a combination of any or all of these. The major risk of expectant and medical therapy is risk of rupture causing severe hemorrhage. This, along with a high failure rate has lead us to establish a new algorithm for the treatment of CSP in which surgical management is a central component. In this submission we present this treatment algorithm along with detailed video examples for all surgical intervention steps. Surgical intervention begins with the mapping the pregnancy and clipping of the anterior division of internal iliac arteries. The CSP is then evacuated either by laparoscopic guided suction aspiration or laparoscopic hysterotomy. This video will serve to provide a useful guide for practitioners, enabling them to provide safe care of this condition.
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