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Outcomes of Laparoscopic Treatment in Women with Cesarean Scar Syndrome
- Source :
- Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
- Publication Year :
- 2017
- Publisher :
- International Scientific Information, Inc., 2017.
-
Abstract
- BACKGROUND The aim of this study was to evaluate the outcomes of laparoscopic treatment of women with severe defect of a Cesarean section (CS) scar and Cesarean scar syndrome. MATERIAL AND METHODS A prospective longitudinal study was conducted in 11 women who were treated for Cesarean scar syndrome. Ultrasound examinations were performed transvaginally 1 day before surgery and 6 months after laparoscopy in all women. Clinical data were registered 1 day before laparoscopy and 6 months after laparoscopy. RESULTS Of these 11 women, total dehiscence of the CS scar was present in 72.7% (8/11) of the women. Before laparoscopy, all 11 women had severe defect of the CS scar (DRC ≤0.25); however, 6 months after laparoscopy, 81.8% (9/11) of women still had severe defect of the CS scar. Mean thickness of the CS scar, measured 1 day before and 6 months after laparoscopy in all 11 women, was 0.3±0.4 mm and 1.3±1.0 mm, respectively. Accordingly, no significant differences were observed in the mean CS scar thickness (p=0.101). After laparoscopy, 63.6% (7/11) of women were fully asymptomatic, and among the remaining 4, the most common complications were dyspareunia in 36.4% (4/11, p=0.005), pelvic pain in 27.3% (3/11, p=0.014), and dysmenorrhea in 18.2% (2/11, p=0.01), and best results after laparoscopy were achieved for postmenstrual spotting in 18.2% (2/11, p
- Subjects :
- Adult
medicine.medical_specialty
Dehiscence
Pelvic Pain
Asymptomatic
Cicatrix
03 medical and health sciences
0302 clinical medicine
Dysmenorrhea
Pregnancy
Clinical Research
medicine
Humans
Longitudinal Studies
Prospective Studies
Laparoscopy
Prospective cohort study
Ultrasonography
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
Cesarean Section
business.industry
Obstetrics
Pelvic pain
Ultrasound
General Medicine
medicine.disease
030220 oncology & carcinogenesis
Female
medicine.symptom
business
Laparoscopic treatment
Subjects
Details
- ISSN :
- 16433750
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Medical Science Monitor
- Accession number :
- edsair.doi.dedup.....1c65c48d6c8d2c7c23e1b205971025ae