Cesarean Scar Diverticulum
Conditions
Brief summary
The goal of this study is to assess the efficacy and safety of uterine incision diverticulum repair during repeat cesarean section.The main questions it aims to answer are: * Can this surgical method improve the symptom of menorrhagia？ * Is this procedure safe？ Researchers will compare experimental group(Cesarean section + diverticulum repair group) to control group(Conventional cesarean section group) to see if this surgical method works to treat or improve menorrhagia. Participants will: * randomly assigned 1:1 to the experimental group（repairing uterine diverticula during cesarean section) and the control group （Routine cesarean section without repairing the uterine incision diverticulum） * visit the hospital 42 days after surgery * followed up by telephone 6-12 months after surgery
Interventions
PROCEDURERepair of uterine cicatricial diverticulum
Cut off the uterine cicatricial diverticular tissue in the lower portion of the uterus, and restore normal uterine muscle tissue.
Sponsors
Shanghai First Maternal and Infant Health Hospital affiliated to Tongji University Medical School
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Women aged ≥18 years, gestational age ≥37 weeks, singleton pregnancy, previous lower segment cesarean section, second or third cesarean section, and diagnosed with uterine incision diverticulum by imaging before or during early pregnancy.
Exclusion criteria
* Preoperative indications of placenta accreta or previa, interdelivery interval less than 18 months from the last cesarean section, history of other uterine surgeries, and severe obstetric or medical complications requiring emergency care.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Regularity of postpartum menstrual cycle | Six months after cesarean section | Whether the symptoms of menorrhagia after cesarean section disappear or improve |
Contacts
Primary ContactZijun Wang, bachelor
Outcome results
None listed