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Abstract

Oncological surgery is the primary treatment for gynecological malignancies and is inseparably linked with anesthesia. The modern approach to interdisciplinary and multidisciplinary perioperative care in gynecologic oncological patients improves the outcome. This paper presents a review of perioperative management of patients with gynecologic oncology related to enhanced recovery after surgery and cytor-eductive surgery with hyperthermic intraperitoneal chemotherapy. We performed a literature search on MEDLINE, EMBASE, Google Scholar, the Cochrane Central Register of Controlled Trials, and Clinical Trials. The database search focused on selected topics related to perioperative gynecological oncology care. The authors also contributed through individual, independent literature searches.
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Authors and Affiliations

Paweł Krawczyk
1
Rafał Baran
2
Dominika Trojnarska
3
Robert Jach
3
Janusz Andres
1

  1. Department of Anesthesiology and Intensive Care Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Gynecological Endocrinology and Gynecology, University Hospital, Kraków, Poland
  3. Department of Obstetrics and Gynecology, Jagiellonian University Medical College, Kraków, Poland
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Abstract

Ectopic pregnancy constitutes 2% of all pregnancies. In the last decades, due to the rising amount of caesarean sections, new localization of ectopic pregnancy has been observed — caesarean scar pregnancy (CSP). Cesarean scar pregnancy is an iatrogenic disease and a life-threatening condition which frequency will systematically rise. Because of possible serious complications, CSP should be swift ly diagnosed and treated. Th e purpose of this retrospective study was to demonstrate diff erent methods of CSP treatment performed between 2015–2018 in the Clinic of Endocrinological Gynaecology and Gynaecology Jagiellonian University Medical College in Cracow. Th e clinical characteristics, diagnosis, various methods of treatment and clinical outcomes were analysed. Defi nitive algorithm of CSP treatment is still not established. Pharmacological and operative methods are approved while expectant observation is considered unsafe due to possible risk of complications for the patient, including death.

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Authors and Affiliations

Katarzyna Doroszewska
Tomasz Milewicz
Tomasz Bereza
Anna Horbaczewska
Justyna Komenda
Estera Kłosowicz
Robert Jach

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