title: Vaginal repair of cesarean section scar diverticula.
abstract: OBJECTIVE
  To introduce a new vaginal surgery for repair of cesarean scar diverticula and to evaluate the effectiveness of this treatment for correcting the anatomic defect and eliminating abnormal uterine bleeding.
  
  
  METHODS
  Retrospective clinical study (Canadian Task Force classification II-3).
  
  
  METHODS
  University-affiliated hospital.
  
  
  METHODS
  Data for 42 patients were reviewed retrospectively. All patients had abnormal uterine bleeding, prolonged menstrual flow, and/or postmenstrual spotting. The diagnosis of a cesarean scar diverticulum of the uterus was established using transvaginal ultrasound.
  
  
  METHODS
  Hysteroscopy was performed to visualize the defect if necessary. Vaginal repair involved excision of the scar and surrounding tissue, followed by closure using 2 layers of sutures.
  
  
  RESULTS
  The median (range) duration of surgery was 60 (30-120) minutes; blood loss during surgery was 45 (10-100) mL; length of hospital stay was 3 (2-11) days. Perioperative complications occurred in 1 of 42 patients (2.4%). Follow-up ranged from 10 to 23 months. The efficacy of anatomic correction and rate of symptomatic relief was 92.9% (39 of 42 patients).
  
  
  CONCLUSIONS
  Vaginal repair is a minimally invasive and effective surgical approach for treatment of uterine scar diverticula associated with previous cesarean section.
authors: Department of Obstetrics and Gynecology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.
authors: Lu
authors: L
authors: Luo
authors: Gang
authors: G
authors: Niu
authors: Qiong
authors: Q
authors: Wang
authors: Hong-zhe
authors: HZ
authors: Xie
authors: Shu-zhong
authors: SZ
authors: Yao
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D002585:Cesarean Section / Q000009:adverse effects; D002921:Cicatrix / Q000150:complications* / Q000209:etiology / Q000601:surgery; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007902:Length of Stay; D012189:Retrospective Studies; D013997:Time Factors; D014463:Ultrasonography; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014592:Uterine Hemorrhage / Q000209:etiology / Q000601:surgery; D014621:Vagina; D055815:Young Adult