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Purpose: To explore the feasibility of surgical management of Cesarean scar ectopie pregnancy (CSEP) using a transvaginal approach.Methods: Thirty eight patients with CSEP presenting at the Shenzhen Nanshan People's hospital between January 2008 and May 2012 were reviewed in the study.Ten patients underwent uterine artery embolization, 13 patients underwent endoscopic CSEP removal in combination with chemotherapy and 15 received transvaginal surgical therapy (Transvaginal group).Patients were followed up for between 3 and 48 months