Clinical research of transvaginal repair of cesarean scar diverticulum
10.3760/cma.j.issn.0529-567x.2015.07.005
- VernacularTitle:经阴道修补剖宫产术后子宫切口憩室64例临床分析
- Author:
Min YAO
;
Huihui CHEN
;
Jie TAO
;
Yu LI
;
Minghua SUN
;
Jialiang ZHU
;
Ping CHEN
;
Xipeng WANG
- Publication Type:Journal Article
- Keywords:
Cesarean section;
Reoperation;
Diverticulum;
Cicatrix;
Menstruation disturbances;
Gynecologic surgical procedures
- From:
Chinese Journal of Obstetrics and Gynecology
2015;(7):500-504
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of transvaginal repair of cesarean scar diverticulum (CSD). Methods Totally 64 patients of CSD in the First Maternity and Infant Hospital, Tongji University between Mar. 2013 and Sept. 2014 underwent transvaginal repair of CSD were reviewed retrospectively and followed. Result All the patients had a prolonged period, and the duration was (14.8± 3.5) days; all the patients were received the transvaginal repair of CSD, there was no intra-operative complications, the procedures were successfully performed in all patients. The mean operation time was (67± 12) minutes, the mean blood loss was (53±32) ml, and the mean length of hospital stay was (4.0±1.1) days. All patients were followed after the operation, the duration of menstruation was (8.1 ± 3.5) days shorter in average, which was statistically significant (P<0.01);the operation effective rate was 94%(60/64) to assess the clinic syptoms, the operation effective rate was 95%(61/64) for anatomic assessment. The distance of the CSD from the serosa became thicker after surgery significantly, the distance was thicker (3.4 ± 0.4) mm compared with preoperation (P<0.01). Conclusions Transvaginal repair of CSD offers minimal invasiveness, good exposure and accurate resection. It is worth to be popularized in the treatment of patients with CSD.
