Effects of Hysteroscopy and Transvaginal Surgery on Reproductive Prognosis in Patients With Post Cesarean Scar Defect

Launched by FIRST AFFILIATED HOSPITAL, SUN YAT-SEN UNIVERSITY · Sep 18, 2019

Keywords

ClinConnect Summary

Post cesarean scar defect (PCSD), refers the lower uterine segment form a reservoir-like pouch during healing process after transverse lower uterine segment cesarean section connected with uterine cavity. The pouch has a valve-like effect, obstructing blood drainage and accumulating blood in depression. These causes may lead to a variety of gynecological disturbances, secondary dysmenorrheal and infertility. Some patients can occur some serious obstetric complications, such as cesarean scar pregnancy and even the rupture of uterus during a subsequent pregnancy. At present, the causes and me...

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Patients had a history of transverse lower uterine segment cesarean section;
• • Patients had a previous regular menstruation, while after caesarean section, they occurred prolonged postmentrual bleeding (10-20days)
• • Medication failed(contraceptive pills).
• • Sex hormone test is normal;
• • TVU or hysteroscopy showed a triangular or U-shaped anechoic liquid dark area and on the anterior lower uterine segment in relation to cesarean section scar during menstruation of 7-12 days or hysteroscopic examination showed uterine anterior wall defect like dome changes at isthmus below internal orifice of cervix.
• Exclusion Criteria:
• • Irregular menstrual cycle before cesarean section
• • Previous placement of an intrauterine contraceptive device
• • Presence of other organic uterine pathology responsible for abnormal uterine bleeding, such as endometrial hyperplasia, polyps or submucosal myomas, cervical cancer, endometrial cancer, etc
• • Existence of endocrine diseases, such as dysfunction of pituitary, ovarian, adrenal gland, and thyroid;
• • Coagulation dysfunction.