1. Uterine-preserving emergency surgery for cesarean scar pregnancies: another medical solution to an iatrogenic problem 
Reuvit Halperin, M.D., Ph.D., David Schneider, M.D., Sonia Mendlovic, M.D., Moty Pansky, M.D., Arie Herman, M.D., Ron Maymon, M.D. 
Fertility and Sterility 
Volume 91, Issue 6, Pages (June 2009)
DOI: /j.fertnstert
Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

2. Figure 1
Ultrasound diagnosis of early midgestation pregnancy in scar. (A) Midline longitudinal transabdominal scan demonstrating the empty uterine cavity (arrowhead) and the advanced scar pregnancy (arrows). The sac can be seen bulging toward the bladder. (B) A midline sagittal transvaginal image demonstrating a gestational sac implanted at the isthmic region between the cervix and the empty uterine cavity, i.e., anatomic locations of a previous caesarean scar (arrow). Note the fetus in the sac.
Fertility and Sterility  , DOI: ( /j.fertnstert )
Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

3. Figure 2
The sequential stages of the open surgery for early midgestation pregnancy in scar. (A) Bulging uterine isthmus (between arrows) just before the gestational sac has been excised. (B) Diathermic excision of the pregnancy in the low uterine segment scar after ligation of the uterine arteries. (C) Open anterior uterine isthmus wall after the removal of the scar and its pregnancy content. (D) Final steps of the double-layer suturing of the uterine anterior wall. (E) The fetus after the pregnancy in scar excision. (F) Sections of uterine wall showing villi with degenerative changes within necrotic tissue in the vicinity of muscle fibers. Trophoblast cells can be seen to invade between muscle fibers (arrow). Hematoxylin-eosin stain, ×400.
Fertility and Sterility  , DOI: ( /j.fertnstert )
Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions