How many days after scar pregnancy surgery will I be discharged from the hospital?

Scar pregnancy refers to the situation in which the gestational sac embryo implants in the original uterine scar in a woman who has had a history of caesarean section, often resulting in heavy vaginal bleeding and late uterine rupture. Many mothers of second children are particularly concerned about whether they have scar pregnancy. How long will it take for pregnant women to recover after scar pregnancy surgery? Let us find out how many days can we stay in the hospital after scar pregnancy surgery?

Surgical treatment of scar pregnancy generally requires hospitalization for about 5 to 7 days. If a scarred uterus becomes pregnant again and the gestational sac becomes pregnant at the scar, it is relatively risky and requires hospitalization for abortion. In addition, blood preparation and relevant examinations and tests before surgery should be done well, and rescue measures should be prepared. If the pregnancy occurs in a non-scar area, hospitalization and surgery are generally not required. The surgery can be performed in a hospital, but it is recommended to be performed under ultrasound monitoring to avoid internal bleeding in the scar.

How long does it take to get pregnant after scar pregnancy surgery

Cesarean scar pregnancy (CSP) is a unique type of ectopic pregnancy in which the gestational sac is implanted in the uterine scar. It has a low prevalence and its prevalence is 1/2226~1/1800 according to surveys. Scar pregnancy can easily cause intrauterine bleeding and rupture, which is an iatrogenic disease that seriously endangers life and health. In recent years, due to the sharp increase in the cesarean section rate and the development of transvaginal B-ultrasound technology, the incidence of scar pregnancy has continued to rise.

The diagnostic criteria for scar pregnancy are: history of cesarean section, positive β-HCG in blood after menopause, and B-ultrasound: (a) no gestational sac in the uterine cavity and cervical canal; (b) a gestational sac that gradually expands on the anterior wall of the lower uterine segment; (c) a lack of normal uterine myometrium between the gestational sac and the bladder.

Figure 1. Ultrasound image of scar pregnancy: there is no gestational sac in the uterine cavity and cervical canal, the anterior wall muscle layer of the lower uterine segment is not continuous, and the gestational sac tissue can be seen, bulging toward the bladder, and the muscle layer between the gestational sac and the bladder is thin (C cervix, F uterine cavity near the bottom of the uterus, S scar position)

Common treatments for scar pregnancy:

1. Medication treatment: MTX, mifepristone, KCl, etoposide, etc.;

2. Surgical treatment: curettage (under B-ultrasound guidance), hysteroscopic curettage (under B-ultrasound guidance/laparoscopic surgery monitoring), intravaginal fetal sac removal, laparoscopic fetal sac removal, laparotomy fetal sac removal, total hysterectomy, etc.;

3. The two work together to treat.

In recent years, due to the rapid development of intervention technology, uterine artery embolization (UAE) has been widely used in obstetrics and gynecology, which can reduce the risk of intrauterine bleeding and preserve the patient's fertility. At the same time, the drug can be injected into the fetal sac to increase the effective concentration of the drug and reduce systemic adverse reactions.