Abstract
Objective To investigate the clinical value of hysteroscopy and combined laparoscopic surgery in the treatment of previous cesarean scar diverticulum (PCSD). Methods 36 cases of PCSD in our hospital from January 2013 to January 2015 were selected. Among them, 13 cases were treated with hysteroscopy diverticulum incision (hysteroscopic surgery group), and 23 cases underwent hysteroscopy combined with laparoscopy diverticulectomy repair (combined operation group). The diagnosis and surgical treatment of PCSD patients were recorded and the pregnancy outcome was followed up. Results The operation time [(39.5±17.1)min vs ( 92.3±30.8)min], the amount of bleeding [(18.2±5.6)ml vs (98.6±24.4)ml] and the length of hospital stay [(2.3±0.6)days vs (5.2±1.1)days] in hysteroscopic surgery group were less than those of hysteroscopy combined with laparoscopy (P 0.05). 17 cases of fertility requiring patients underwent hysteroscopy combined with laparoscopy diverticulectomy repair, of which 8 cases were successfully delivered after operation. Conclusions Individualized clinical decision-making should be made for PCSD patients. Hysteroscopy and combined hysteroperitoneal surgery have the same effect, but the latter should be chosen for those with severe clinical symptoms or reproductive needs. Key words: Cesarean section/AE; Cicatrix; Uterus/SU; Diverticulum/SU; Hysteroscopy; Laparoscopy
Published Version
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