Clinical Effects of Hysteroscopic Resection for Mild-to-moderate Uterine Incision Diverticulum After Cesarean Section

VernacularTitle:宫腔镜电切术改善剖宫产术后轻中度子宫切口憩室临床症状的效果分析
Author: Lihong TANG ; Aihua ZHANG ; Hongjuan ZHANG
Keywords: Cesarean section; Uterine incision diverticulum; Hysteroscopy; B-ultrasonography
From: Chinese Journal of Minimally Invasive Surgery 2017;17(9):798-799,817
CountryChina
Language:Chinese
Abstract: Objective To investigate the effects of hysteroscopic resection for mild-to-moderate uterine incision diverticulum after cesarean section.Methods From September 2010 to September 2014, hysteroscopic resection was performed under B-ultrasonography in 102 cases of mild-to-moderate uterine incision diverticulum after cesarean section.Results The operation was completed successfully in all the cases, without surgical complications.Outcome evaluation at 1 year after surgery showed cured in 89 cases (87.3%, complete disappearance of symptoms and recovery of normal menstruation), improved in 7 cases (6.9%, menstrual period shortened by 5-7 d, with or without lower abdominal dull pain and menstrual exacerbation), and ineffective in 6 cases (5.9%, no or slight symptom improvement).Conclusion Hysteroscopic resection is a safe, effective, and minimally invasive method for mild-to-moderate uterine incision diverticulum after cesarean section in patients demanding clinical symptom improvement without desire of fertility.