Endoscopic Treatment of Previous Cesarean Scar Defect in Women with Postmenstrual Bleeding: A Retrospective Cohort Study
- Resource Type
- article
- Authors
- Ning-Ning Zhang; Guang-Wei Wang; Qing Yang
- Source
- Journal of Investigative Surgery, Vol 34, Iss 10, Pp 1147-1155 (2021)
- Subject
- cesarean section
cesarean scar defect
sonohysterography
hysteroscopy
laparoscopy
Surgery
RD1-811
- Language
- English
- ISSN
- 0894-1939
1521-0553
08941939
Objective To compare the incidence of postmenstrual bleeding after hysteroscopic resection versus laparoscopic repair of previous cesarean scar defect (PCSD). Materials and methods Retrospective analysis of computerized patient records. For the diagnosis of PCSD, patients underwent transvaginal ultrasound first without and then with saline-assisted sonohysterography. Hysteroscopic PCSD resection was performed under sonographic guidance, while laparoscopic repair was guided by hysteroscopy for the confirmation of scar margins. Results Records of 62 patients presenting with PCSD-related postmenstrual bleeding were included in analysis. Hysteroscopic surgery had significantly shorter operative time compared to the laparoscopic approach (Mean =30.9 vs 71.0 minutes; p