title: [Clinical research of transvaginal repair of cesarean scar diverticulum].
abstract: OBJECTIVE
  To explore the clinical effect of transvaginal repair of cesarean scar diverticulum (CSD).
  
  
  METHODS
  Totally 64 patients of CSD in the First Maternity and Infant Hospital, Tongji University between Mar. 2013 and Sept. 2014 underwent transvaginal repair of CSD were reviewed retrospectively and followed.
  
  
  RESULTS
  All the patients had a prolonged period, and the duration was (14.8 ± 3.5) days; all the patients were received the transvaginal repair of CSD, there was no intra-operative complications, the procedures were successfully performed in all patients. The mean operation time was (67 ± 12) minutes, the mean blood loss was (53 ± 32) ml, and the mean length of hospital stay was (4.0 ± 1.1) days. All patients were followed after the operation, the duration of menstruation was (8.1 ± 3.5) days shorter in average, which was statistically significant (P < 0.01); the operation effective rate was 94% (60/64) to assess the clinic syptoms, the operation effective rate was 95% (61/64) for anatomic assessment. The distance of the CSD from the serosa became thicker after surgery significantly, the distance was thicker (3.4 ± 0.4) mm compared with preoperation (P < 0.01).
  
  
  CONCLUSIONS
  Transvaginal repair of CSD offers minimal invasiveness, good exposure and accurate resection. It is worth to be popularized in the treatment of patients with CSD.
authors: Department of Gynecology, First Maternity and Infant Hospital, Tongji University, Shanghai 201204, China.
authors: Min
authors: M
authors: Yao
authors: Huihui
authors: H
authors: Chen
authors: Jie
authors: J
authors: Tao
authors: Yu
authors: Y
authors: Li
authors: Minghua
authors: M
authors: Sun
authors: Jialiang
authors: J
authors: Zhu
authors: Ping
authors: P
authors: Chen
authors: Email: xipengwang@hotmail.com.
authors: Xipeng
authors: X
authors: Wang
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000000981:diagnostic imaging / Q000601:surgery*; D015331:Cohort Studies; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008598:Menstruation; D061646:Operative Time; D011247:Pregnancy; D012189:Retrospective Studies; D014463:Ultrasonography; D014945:Wound Healing