Document Detail


Resectoscopic treatment combined with sonohysterographic evaluation of women with postmenstrual bleeding as a result of previous cesarean delivery scar defects.
MedLine Citation:
PMID:  19318145     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to assess the detection rate of previous cesarean delivery scar (PCDS) defect by transvaginal ultrasonography (TVU) and to evaluate the effectiveness of resectoscopic surgery to correct this anatomic defect. STUDY DESIGN: In all, 57 women were included in our study. A diagnosis of a PCDS defect was established by TVU. We used resectoscopy to remove the flaplike fibrotic tissue that appeared underneath the pouchlike defect. RESULTS: A total of 22 patients received resectoscopic treatment. The detection rate of PCDS defects was 88% by TVU. The duration of postmenstrual bleeding shortened significantly after resectoscopic therapy. CONCLUSION: TVU examination performed during the period of postmenstrual bleeding allows us to readily identify this anatomic defect. Resectoscopy, in our opinion, should be considered the first choice to correct this defect because it is minimally invasive and yields good therapeutic results.
Authors:
Yu Chang; Eing Mei Tsai; Cheng Yu Long; Chyi Long Lee; Nari Kay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  200     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-25     Completed Date:  2009-04-30     Revised Date:  2010-01-26    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  370.e1-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section / adverse effects*
Cicatrix / etiology,  surgery*,  ultrasonography*
Female
Humans
Prospective Studies
Uterine Diseases / etiology,  surgery*,  ultrasonography*
Uterine Hemorrhage / etiology,  surgery*,  ultrasonography*
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2010 Jan;202(1):e21-2; author reply e22   [PMID:  19782338 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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