{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T02:15:19Z","timestamp":1776132919935,"version":"3.50.1"},"reference-count":18,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"2","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. colomb. obstet. ginecol."],"abstract":"<jats:p>Objetivos: describir las caracter\u00edsticas cl\u00ednicas y el tratamiento del embarazo ect\u00f3pico implantado en la cicatriz de ces\u00e1rea, as\u00ed como las complicaciones y el pron\u00f3stico obst\u00e9trico.Materiales y m\u00e9todos: estudio de cohorte retrospectivo de gestantes con diagn\u00f3stico de embarazo ect\u00f3pico implantado en la cicatriz de ces\u00e1rea seg\u00fan los criterios de la Sociedad de Medicina Materno-Fetal, atendidas entre enero de 2018 y marzo de 2022 en dos instituciones de alta complejidad, pertenecientes a la seguridad social, ubicadas en Lima, Per\u00fa. Se hizo un muestreo consecutivo. Se midieron variables sociodemogr\u00e1ficas y cl\u00ednicas de ingreso, diagn\u00f3stico, tipo de tratamiento, complicaciones y pron\u00f3stico obst\u00e9trico. Se hace un an\u00e1lisis descriptivo.Resultados: se incluyeron 17 pacientes, de 29.919 partos. De estas, el 41,2 % recibi\u00f3 tratamiento m\u00e9dico y el resto recibi\u00f3 tratamiento quir\u00fargico. Se realiz\u00f3 un manejo local exitoso con metotrexato en el saco gestacional en dos pacientes con ect\u00f3pico tipo 2. Cuatro de las pacientes requirieron histerectom\u00eda total. Seis pacientes experimentaron una gestaci\u00f3n despu\u00e9s del tratamiento, y 4 de ellas culminaron el embarazo con una madre y un neonato saludables.Conclusiones: el embarazo ect\u00f3pico implantado en la cicatriz de una ces\u00e1rea es una entidad poco frecuente, para la cual se cuenta con alternativas de manejo m\u00e9dico y quir\u00fargico con aparentes buenos resultados. Se requieren m\u00e1s estudios con mayor calidad metodol\u00f3gica de asignaci\u00f3n aleatoria que ayuden a caracterizar la seguridad y la efectividad de las diferentes alternativas terap\u00e9uticas para las mujeres con sospecha de esta patolog\u00eda.<\/jats:p>","DOI":"10.18597\/rcog.3958","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T13:45:48Z","timestamp":1684244748000},"page":"128-135","update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":4,"title":["Tratamiento del embarazo ect\u00f3pico implantado en cicatriz de ces\u00e1rea: estudio de cohorte 2018-2022, Lima, Per\u00fa","Treatment of ectopic pregnancy implanted on cesarea scar: cohort study 2018-2022, Lima, Peru"],"prefix":"10.18597","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1325-7249","authenticated-orcid":false,"given":"Oswaldo","family":"Tipiani-Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Hospital Nacional Alberto Sabogal Sologuren - EsSalud, Lima (Per\u00fa)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1608-9391","authenticated-orcid":false,"given":"Jos\u00e9 Carlos","family":"El\u00edas-Estrada","sequence":"additional","affiliation":[{"name":"Hospital Nacional Edgardo Rebagliati Martins - EsSalud, Lima (Per\u00fa)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4566-4516","authenticated-orcid":false,"given":"Yuliana Libet","family":"Bocanegra-Becerra","sequence":"additional","affiliation":[{"name":"Hospital Nacional Alberto Sabogal Sologuren - EsSalud, Lima (Per\u00fa)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1479-234X","authenticated-orcid":false,"given":"Miguel Angel","family":"Ponciano-Biaggi","sequence":"additional","affiliation":[{"name":"Hospital Nacional Alberto Sabogal Sologuren - EsSalud, Lima (Per\u00fa)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"93009","unstructured":"Cunningham, F. 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