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Hysteroscopic treatment of cesarean scar defect

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

To investigate the effect of hysteroscopic surgery on the outcomes of obstetrics and gynecology among patients with cesarean section diverticulum.

Methods

Ninety-nine infertile patients with cesarean section diverticulum received hysteroscopic treatment and were retrospectively analyzed. Patients were followed for 1 year.

Results

The study included ninety-nine symptomatic patients with cesarean section diverticulum. After surgery, the menstrual periods of patients were improved from 11.15 ± 4.44 to 7.69 ± 2.85 days. Forty-seven (47/99) women became pregnant after surgery. The number of patients who became pregnant with an anteflexion uterus after hysteroscopic surgery is 32 (32/57), and the number of women who became pregnant with a retroflexion uterus is 15 (15/42).

Conclusion

Hysteroscopic surgery could improve the PCSD-associated prolonged menstrual bleeding, and satisfactory obstetrical outcomes could be achieved by the surgery treatment in women with cesarean defect.

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Data transparency

Yingyu Dou, Da Zeng, Zi’ang Zhou, Yajun Wan, Dabao Xu and Songshu Xiao can make sure that all data and materials support our published claims and comply with field standards.

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Funding

1. The Project of Hunan Provincial Natural Science Foundation Grant No. 2018JJ3782, supported by Hunan province natural science foundation); 2. China Scholarship Fund, CSC No. 201806375049 supported by China scholarship fund; 3. Postgraduate independent exploration and innovation project of central south university, Grant nos: 2018zzts937, 2018zzts952; 2019zzts1055, supported by Central South university; 4. Graduate research project of central south university, No: 2018dcyj075,supported by Central South university; 5. Project of degree and postgraduate education and teaching reform in Hunan province, No. JG2018A003 supported by Hunan province.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China

    Yingyu Dou, Da Zeng, Zi’ang Zou, Yajun Wan, Dabao Xu & Songshu Xiao

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  1. Yingyu Dou
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  2. Da Zeng
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  3. Zi’ang Zou
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  4. Yajun Wan
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  5. Dabao Xu
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  6. Songshu Xiao
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Contributions

DY contributed to the conception, draft writing and data analysis. ZD, ZZ, WY and XD contributed to collect and analyze the data. XS contributed to collect data, revise the draft and manuscript. All authors read and approved the final version of the manuscript.

Corresponding author

Correspondence to Songshu Xiao.

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The study was approved and registered in the ethics committee of the Third Xiangya hospital of Central South university.

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Informed consent was obtained.

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Dou, Y., Zeng, D., Zou, Z. et al. Hysteroscopic treatment of cesarean scar defect. Arch Gynecol Obstet 302, 1215–1220 (2020). https://doi.org/10.1007/s00404-020-05739-4

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