{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:06:40Z","timestamp":1789546000081,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":258,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004835","name":"Zhejiang University","doi-asserted-by":"publisher","award":["ZDFY2023-4XPY101"],"award-info":[{"award-number":["ZDFY2023-4XPY101"]}],"id":[{"id":"10.13039\/501100004835","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obstetrics and Gynecology International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare treatment outcomes (including cesarean scar diverticulum and residual myometrium thickness [RMT]), among patients with endogenous cesarean scar pregnancy (CSP) stratified by the Chinese classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>A 6\u2010year multicenter retrospective observational cohort study of CSP patients in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 940 women with endogenous CSP underwent vacuum aspiration surgery (VAS), hysteroscopic conservative surgery (HCS), and excisional surgery (ES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Detection rate of cesarean scar diverticulum and preoperative\u2013postoperative differences in RMT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The postoperative detection rate of cesarean scar diverticulum was 77.5% (555\/716) in the Type 2 CSP group, significantly higher than that of 64.3% (144\/224) in the Type 1 CSP group (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). The preoperative\u2013postoperative change in RMT was 0.13\u2009\u00b1\u20090.11 for Type 2 CSP patients, significantly higher compared with \u22120.10\u2009\u00b1\u20090.16 in Type 1 CSP patients (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ES helps lower the incidence of cesarean scar diverticulum and improve RMT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ogi\/5246199","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:41:30Z","timestamp":1789544490000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment Outcomes of Excisional Versus Conservative Surgery for Endogenous Cesarean Scar Pregnancy: A Retrospective Cohort 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