Clinical Research Directory

Inclusion Criteria: 1. Women aged ≥18 years. 2. Ultrasound-confirmed cesarean scar pregnancy with residual myometrial thickness (RMT) \<3 mm. 3. Planned laparoscopic resection and repair of cesarean scar pregnancy. 4. Hemodynamically stable patients. 5. Ability and willingness to provide written informed consent. Exclusion Criteria: \- 1. Hemodynamic instability requiring emergency intervention. 2. Suspected or confirmed uterine rupture. 3. Contraindications to laparoscopic surgery. 4. Contraindications to methotrexate administration. 5. Significant hepatic or renal impairment. 6. Patients managed primarily by hysteroscopy, suction evacuation, uterine artery embolization, or laparotomy. 7\. Inability to comply with follow-up assessments. 8. Refusal or inability to provide informed consent.