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Transvaginal Management of Cesarean Scar Section Diverticulum: A Novel Surgical Treatment

Yuqing Chen, Yajie Chang, Shuzhong Yao

Department of Gynecology and Obstetrics, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China (mainland)

Med Sci Monit 2014; 20:1395-1399

DOI: 10.12659/MSM.890642

Available online:

Published: 2014-08-08

Background: The aim of this study was to investigate the clinical value of transvaginal management of cesarean section scar diverticulum.
Material and Methods: We evaluated 64 patients receiving transvaginal management of previous cesarean scar defect (PCSD).
Results: The PCSD was successfully treated by transvaginal surgery, without evident complications. The mean operation time was 33.6±4.1 min, blood loss was 37.9±16.8 ml, and the mean hospital stay after surgery was 6±2.9 days. Symptoms related to the prolonged menstruation in 53 patients were improved after surgery, vaginal bleeding time was reduced by an average of 7.3±2.8 days, and a significant difference was noted between the mean pre- and post-operative duration of menstruation (P<0.01). Of 11 patients with guttate between menstrual periods, guttate was absent in 9 patients and improved in 2. Clinical improvement was observed in 85.9% (55/64).
Conclusions: Transvaginal intervention is feasible and safe for the management of PCSD.

Keywords: Cesarean Section - adverse effects, Cicatrix - ultrasonography, Cohort Studies, Diverticulum - ultrasonography, Uterine Hemorrhage - ultrasonography