Hysteroscopy in the treatment of uterine cesarean section scar diverticulum: A systematic review

Advances in Medical Sciences
Anna Abacjew-ChmylkoHanna Olszewska

Abstract

The aim of this paper is to review and to analyze the results of previous studies dealing with hysteroscopic treatment of postcesarean scar defects. A systematic review of publications indexed in MEDLINE/PubMed database identified a total of 11 studies dealing with resectoscopic treatment of postcesarean scar defect. The review was conducted in line with the Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines and the PRISMA statement. In only few studies, patients were qualified for hysteroscopic surgery based on the measurement of the defect depth and thickness of residual myometrium above the pouch. Two principal techniques were used for the hysteroscopic treatment: resection of one edge of the scar diverticulum, and resection of the inferior and superior edges of the defect. Additionally, most authors performed electrocauterization of the niche bottom. Resectoscopic treatment turned out to be highly effective in the case of women with AUB. No complications of the hysteroscopic procedure have been reported. Methodological value of the reviewed studies was relatively low due to non-unified selection/verification criteria and incomplete, non-systematic postoperative assessment. In conclusion, hysteroscopic...Continue Reading

Citations

Mar 19, 2019·The Journal of International Medical Research·Piotr SzkodziakSławomir Woźniak
Jun 6, 2019·Revista da Associação Médica Brasileira·Thaysa Guglieri KremerRaquel Papandreus Dibi
Jun 23, 2020·The Journal of Obstetrics and Gynaecology Research·Yanhua ZhangQian Sun
Jan 22, 2020·The Journal of Obstetrics and Gynaecology Research·Dan ZhouQiubo Lv
Dec 17, 2020·Journal of Minimally Invasive Gynecology·Kaixian DengYuhua Zheng
Jan 9, 2021·Journal of Obstetrics and Gynaecology of India·Vidushi KulshresthaGarima Kachhawa
Nov 6, 2020·Journal of Minimally Invasive Gynecology·Roy Mashiach, Yechiel Z Burke
Mar 24, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Qinghua Du, Wancheng Zhao
Nov 17, 2020·Journal of Minimally Invasive Gynecology·Amélie ZellerPerrine Capmas
Oct 17, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Chao PengYingfang Zhou
May 11, 2021·Taiwanese Journal of Obstetrics & Gynecology·Yan WuYong-Mei Gao
Nov 3, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Clarel AntoineIlan E Timor-Tritsch

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