Cesarean Section; Complications, Wound, Dehiscence, Magnetic Resonance Imaging
Conditions
Keywords
Magnetic Resonance Imaging, cesarean scar defects, vaginal repair
Brief summary
To examine the correlation between the occurrence of adenomyosis and the outcome of vaginal repair of cesarean section scar defects (CSD), women with CSD will be enrolled in this retrospective observational cohort study. According to preoperative magnetic resonance imaging (MRI) findings, patients will be divided into two groups, the adenomyosis group and the non-adenomyosis group. They all will have vaginal excision and suture of CSD and will be required to undergo examinations at 3- and 6-months after surgery. Preoperative and postoperative clinical information will be collected.
Detailed description
Women with CSD will be enrolled in this study. According to preoperative magnetic resonance imaging (MRI) findings, patients will be divided into two groups, the adenomyosis group and the non-adenomyosis group. They all underwent vaginal excision and suture of CSD and will be required to undergo examinations at 3- and 6-months after surgery. Preoperative and postoperative clinical information will be collected. Optimal healing was defined as a duration of menstruation of no more than 7 days and a TRM of no less than 5.30 mm after vaginal repair
Interventions
OTHERNo Intervention
No more intervention will be given.
Sponsors
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* The inclusion criteria are non-pregnant patients who had one or more cesarean sections, patients who had intermenstrual spotting after the cesarean section or those in which the TRM was less than 3.0 mm at the preoperative stage, and patients who underwent MRI and TVS to evaluate the size of the defect and the TRM before surgery
Exclusion criteria
* Patients who had a history of chronic diseases (such as cerebro-cardiovascular diseases, malignancies and diabetes mellitus), endocrine disorders, menstrual irregularities before cesarean section, coagulation disorders, use of intrauterine devices, sub-mucous myoma, endometrial diseases, endometrial cysts, uterine fibroids, and adenomyosis after cesarean section
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean duration of menstruation | on Days: 30 | Mean duration of menstruation |
| The thickness of the residual myometrium | on Days: 90 | The thickness of the residual myometrium |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| reproductive information | 3 years | reproductive information by questionnaire, including abortion, delivery, childbirth, etc. |
Countries
China
Contacts
Primary ContactXipeng Wang, Dr
Outcome results
None listed