Evidence map›Paper›PMID 42751109›Full record

ArticleObstetrics and gynecology international2026

Treatment Outcomes of Excisional Versus Conservative Surgery for Endogenous Cesarean Scar Pregnancy: A Retrospective Cohort Study.

Zhujie Wang, Xingmiao Li, Feng Qi, Jianwei Zhou, Ning Wang, Meijun Guo, Mengjia Yu, Yanan Yang, Xuelu Zhu, Xiuxiu Jiang

Abstract read
In one paragraph

Article in Obstetrics and gynecology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zhujie WangDepartment of Family Planning, Women's Hospital, Zhejiang University School of Medicine, Hangzhou City Zhejiang, 310006, China, zju.edu.cn.
Xingmiao LiDepartment of Family Planning, Women's Hospital, Zhejiang University School of Medicine, Hangzhou City Zhejiang, 310006, China, zju.edu.cn.ORCID https://orcid.org/0000-0002-5387-3310
Feng QiDepartment of Gynecology, Taizhou Hospital of Zhejiang Province, Zhejiang University, Taizhou City Zhejiang, 317000, China, zju.edu.cn.ORCID https://orcid.org/0000-0002-7293-1125
Jianwei ZhouDepartment of Gynecology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City Zhejiang, 310006, China, zju.edu.cn.ORCID https://orcid.org/0000-0002-7440-4134
Ning WangDepartment of Family Planning, Women's Hospital, Zhejiang University School of Medicine, Hangzhou City Zhejiang, 310006, China, zju.edu.cn.ORCID https://orcid.org/0009-0000-6778-5461
Meijun GuoDepartment of Family Planning, Women's Hospital, Zhejiang University School of Medicine, Hangzhou City Zhejiang, 310006, China, zju.edu.cn.ORCID https://orcid.org/0000-0002-7674-3076
Mengjia YuDepartment of Family Planning, Women's Hospital, Zhejiang University School of Medicine, Hangzhou City Zhejiang, 310006, China, zju.edu.cn.ORCID https://orcid.org/0000-0003-3012-6141
Yanan YangDepartment of Family Planning, Women's Hospital, Zhejiang University School of Medicine, Hangzhou City Zhejiang, 310006, China, zju.edu.cn.ORCID https://orcid.org/0009-0009-4800-0804
Xuelu ZhuDepartment of Biostatistics, Clinical Research Institute, Institute of Advanced Clinical Medicine, Peking University, Beijing 100871, China, pku.edu.cn.ORCID https://orcid.org/0009-0005-0808-870X
Xiuxiu JiangZhejiang Provincial Clinical Research Center for Obstetrics and Gynecology, Zhejiang Key Laboratory of Maternal and Infant Health, Department of Family Planning, Women's Hospital, Zhejiang University School of Medicine, Hangzhou City Zhejiang, 310006, China, zju.edu.cn.ORCID https://orcid.org/0000-0003-4471-6919

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: 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. Methods: . Study design: A 6-year multicenter retrospective observational cohort study of CSP patients in China. Participants: A total of 940 women with endogenous CSP underwent vacuum aspiration surgery (VAS), hysteroscopic conservative surgery (HCS), and excisional surgery (ES). Main Outcome Measures: Detection rate of cesarean scar diverticulum and preoperative-postoperative differences in RMT. Results: 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 ( Conclusion: ES helps lower the incidence of cesarean scar diverticulum and improve RMT.

Indexed as

cesarean scar diverticulumCSP classificationresidual myometrium thickness

Identifiers

PMID42751109
PMCPMC13579242

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.