Hysteroscopy, Magnetic Resonance Imaging
Conditions
Keywords
cesarean section scar defect, hysteroscopy, surgical outcomes
Brief summary
Cesarean section scar defects (CSDs) are one of the long-term complications following cesarean section. They can be detected by transvaginal sonography, hysterosalpingography, sonohysterography and magnetic resonance imaging (MRI). Hysteroscopy is frequently used in evaluating endometrial disease. However, the description of CSDs by hysteroscopy is very limited. Only a few papers about hysteroscopy evaluation have been published. This is an exploratory study to compare hysteroscopic findings with the clinical outcomes of vaginal repair of CSDs.
Detailed description
All women with CSD suffered from abnormal uterine bleeding and were evaluated in a standardized way with hysteroscopy before vaginal surgery. Dome-shaped CSDs could be clearly observed in all patients under hysteroscopy. We recorded the pictures of each patient under hysteroscopy and classified them. 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. All patients obtain menstrual information and CSD scar size by MRI or transvaginal sonography.
Interventions
PROCEDUREvaginal repair
vaginal repair
Sponsors
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
PROSPECTIVE
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 |
|---|---|---|
| the days of duration of menstruation | on Days: 1 month | duration of menstruation |
| The thickness of the residual myometrium | on Days: 3-6 month | The thickness of the residual myometrium |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of pregnancy | 3 years | reproductive information by questionnaire, including abortion, delivery, childbirth, etc. |
Countries
China
Contacts
PRINCIPAL_INVESTIGATORXipeng Wang, Docter
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
Outcome results
None listed