title: Laparoscopic repair with hysteroscopy of cesarean scar diverticulum.
abstract: OBJECTIVE
  The aim of this study was to investigate the clinical data of laparoscopic repair with hysteroscopy of cesarean scar diverticulum (CSD).
  
  
  METHODS
  We retrospectively evaluated 49 patients with CSD in our hospital who had undergone laparoscopic repair with hysteroscopy from January 2014 to June 2015. All patients had a history of cesarean section deliveries and prolonged postmenstrual spotting (duration 16.1 ± 3.4 days). The diagnosis of CSD was established by using 2-D transvaginal ultrasound.
  
  
  RESULTS
  All patients underwent the surgical repair successfully, without evident complications. The mean operation time was 90.4 ± 9.1 min, the mean volume of blood loss was 31.2 ± 14.3 mL, and the mean length of hospital stay was 4.1 ± 0.3 days. All patients were followed for 6 months after the operation; the mean duration of menstruation was 7.5 ± 2.5 days shorter on average than the pre-surgical menstrual days, and the difference was statistically significant (P = 0.001). According to the clinical symptoms assessment, 89.8% (44/49) of the surgeries were effective, while according to the anatomic assessment, 95.9% (47/49) were effective.
  
  
  CONCLUSIONS
  Laparoscopic repair with hysteroscopy of CSD was confirmed to be a safe, effective, and minimally invasive treatment, and should be widely used to treat patients with CSD.
authors: Department of Gynecology, Tongde Hospital of Zhejiang Province, Hangzhou, China.
authors: Song-Jun
authors: SJ
authors: Liu
authors: Department of Gynecology, Tongde Hospital of Zhejiang Province, Hangzhou, China.
authors: Wen
authors: W
authors: Lv
authors: Department of Gynecology, Tongde Hospital of Zhejiang Province, Hangzhou, China.
authors: Wu
authors: W
authors: Li
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000000981:diagnostic imaging / Q000601:surgery*; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D010535:Laparoscopy; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography
keywords: cesarean scar diverticulum; hysteroscopy; laparoscopy; postmenstrual spotting