A new method using a Foley Catheter to locate the diverticulum in laparoscopic repair of uterine cesarean scar defects

Zhao, Wancheng; Liu, Guipeng; Yang, Qing; Zhang, Chunmei

doi:10.1016/j.ejogrb.2018.01.033

Cited by 8 publications

(5 citation statements)

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“…Zhao et al analyze the external environment of the competition, analyze the technology, personnel, equipment and other factors involved in every link of the whole management process and operation process of the competition, and describe the risk characteristics and determine which risk events may affect the competition. Risk identification methods include work breakdown structure method, brainstorming method and interview method [ 18 ]. Xiu-Mei put forward that no special risk management organization has been set up for sports events, and there are no special risk management personnel to organize and coordinate the risks of the whole event.…”

Section: Related Workmentioning

confidence: 99%

[Retracted] Risk Management of Sports Venues and Olympic Sports Cooperation Spirit under Complex Environment

Jiang

2022

Journal of Environmental and Public Health

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The understanding of sports event risk and Olympic sports cooperation spirit, as well as the systematic analysis and research of sports event risk management, are still in their early stages in China’s sports theory circle. Institutions for developing sports talent also disregard programmes designed to increase the risk awareness and Olympic spirit of sports workers. This essay provides an overview of the concepts of sports event risk and Olympic sports cooperation spirit based on reality. This paper examines the interaction of risk management of large-scale sporting events and Olympic sports cooperation spirit from the perspective of event organization managers, using the pertinent theory of risk management and the random forest algorithm in machine learning. The experimental results show that, according to the analysis of injury occurrence according to different positions, it is discovered that forward athletes suffer the most injuries, with an average of 54 forwards in injury situations, followed by guards with an average of 43 guards in injury situations, and finally centres with an average of 38 guards in injury situations. Combining risk management for major sporting events with the cooperative Olympic sports spirit has significant practical implications.

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Section: Related Workmentioning

confidence: 99%

[Retracted] Risk Management of Sports Venues and Olympic Sports Cooperation Spirit under Complex Environment

Jiang

2022

Journal of Environmental and Public Health

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“…The operative field is clear under laparoscopy, enabling definitive scar removal and resuturing of the uterus to restore the anatomical structure. The aim is to radically eliminate the diverticulum and improve symptoms [10,11]. The study by Dosedla et al showed that the symptoms of vaginal bleeding were relieved in 82% of patients after surgery, and the average thickness of the lower segment of the uterus increased from 0.3 mm before surgery to 1.3 mm after surgery.…”

Section: Surgical Improvement Of Scar Thicknessmentioning

confidence: 99%

“…The formation of scar diverticulum is an anatomical change, and surgical treatment may fundamentally solve the problem. Common surgical procedures include hysteroscopic electroresection of diverticular scars and electrocoagulation of the intima inside the diverticulum [6][7][8], laparoscopic or combined hysteroscopic and laparoscopic surgical resection of diverticular scar and uterus repair [9][10][11], and transvaginal surgical resection of scar and uterus repair [12,13]. Among these procedures, the combined hysteroscopic and laparoscopic surgical resection of scar and uterus repair method has been widely used in recent years.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Efficacy of Two Laparoscopic Surgical Procedures Combined with Hysteroscopic Incision in the Treatment of Cesarean Scar Diverticulum

Peng

Huang

et al. 2020

Journal of Investigative Surgery

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Objective: To investigate the efficacy of two different surgical procedures in combined hysteroscopic and laparoscopic surgery-the "folding suture method" and the "muscle flap filling suture method"-in the treatment of cesarean scar diverticulum (CSD). Methods: The clinical data of 24 patients with CSD who underwent surgery in the Peking University First Hospital from August 2016 to December 2018 were retrospectively analyzed. Results: There was no difference in age, vaginal bleeding time, thickness of the lower uterine segment, operative time and intraoperative bleeding between the two groups. At three months after the operation, the patients of the folding suture and muscle flap groups had an average menstrual period of 6.9 ± 1.8 days and 7.5 ± 3.0 days, respectively, which was 5.8 ± 4.2 days and 4.4 ± 3.8 days, respectively, shorter than that before the operation, as well as a lower segment thickness of the uterus of 6.7 ± 1.8 mm and 6.3 ± 1.7 mm, respectively. Among the patients in the folding suture and muscle flap groups, 8 and 6 cases were cured, and 3 and 6 cases were improved, respectively, resulting in an effective rate of 100%. There was no significant difference in any indicator between the two groups. Conclusion: As two new surgical methods that preserve uterine integrity, the laparoscopic "muscle flap filling suture method" and "folding suture method" combined with hysteroscopic incision are safe and effective treatments for repairing CSD.

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“…Uterine scar diverticulum, also known as cesarean scar diverticulum (CSD), is one of the 3 major complications of cesarean section, and mainly due to the incision healing defect in the lower section of uterine after cesarean section, leading to a depression that connected with the uterine cavity appeared at the uterine incision. [ 1 ] According to epidemiological statistics, the incidence of CSD was approximately 89% among women with a history of caesarean section when assessed by hysterosalpingogram, and about 61% to 64.5% when assessed by transvaginal ultrasonography. [ 2 ] Furthermore, the incidence of CSD was 61% after undergoing 1 cesarean section, the incidence was 81% in 2 cases, and the incidence was 100% in 3 times.…”

Section: Introductionmentioning

confidence: 99%

“…Uterine scar diverticulum, also known as cesarean scar diverticulum (CSD), is one of the 3 major complications of cesarean section, and mainly due to the incision healing defect in the lower section of uterine after cesarean section, leading to a depression that connected with the uterine cavity appeared at the uterine incision. [1] According to epidemiological statistics, the incidence of CSD was approximately 89% among women with a Editor: Burak Bayraktar. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.…”

Section: Introductionmentioning

confidence: 99%

Analysis on clinical association of uterine scar diverticulum with subsequent infertility in patients underwent cesarean section

Gao²,

Fan³

et al. 2021

Medicine

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To evaluate the relationship between uterine cesarean scar diverticulum (CSD) and subsequent infertility in patients who underwent cesarean section, and determine the effects of pelvic fluid-releasing inflammations on infertility.A retrospective analysis was designed among patients with CSD who were admitted to our hospital from January 1, 2018 to December 31, 2019. A total of 60 patients with CSD and uterine fibroids or benign ovarian tumors who underwent cesarean section were included, and divided into the CSD group and control group. Baseline characteristics of all patients were collected, and the pelvic adhesion scores and the percents of tubal patency were evaluated. Furthermore, the postoperative clinical outcomes were followed up. The levels of inflammatory factors in pelvic fluid were tested using Elisa kits.Preoperative data indicated that the size of the uterine scar diverticulum was (1.68 ± 0.52) cm, the pelvic adhesion scores were higher in CSD group than control group (4.67 ± 0.90 vs 0.47 ± 0.90, P < .05), and 21 of 30 patients with unobstructed fallopian tubes. The levels of tumor necrosis factor-a, interleukin-1b, and interleukin-6 in patients with CSD were obviously higher than control group (P < .05). After the follow-up, the data displayed that no CSD was found in all patients, the time of menstrual period in patients with CSD was shortened to 7.80 ± 1.27 days, and the myometrial thickness at uterine scar was significantly increased (P < .05). Additionally, the pregnancy rate was increased, and 12 of 30 patients were repregnant. Correlation analysis showed that the levels of inflammatory factors (tumor necrosis factor-a, interleukin-1b, interleukin-6), the size of uterine scar diverticulum, and the myometrial thickness at uterine scar were significantly correlated with subsequent infertility (r = 0.307, 0.083, 0.147, 0.405, 0.291, P < .05).Uterine scar diverticulum repair could improve menstrual prolongation, increased the thickness of myometrium and repregnant rate. Subsequent infertility was positively correlated with uterine scar diverticulum and the levels of inflammatory factors.Abbreviations: CSD = cesarean scar diverticulum, IL-1b = interleukin-1 b, IL-6 = interleukin-6, MRI = magnetic resonance imaging, TNF-a = tumor necrosis factor a.

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A new method using a Foley Catheter to locate the diverticulum in laparoscopic repair of uterine cesarean scar defects

Cited by 8 publications

References 10 publications

[Retracted] Risk Management of Sports Venues and Olympic Sports Cooperation Spirit under Complex Environment

[Retracted] Risk Management of Sports Venues and Olympic Sports Cooperation Spirit under Complex Environment

Comparison of the Efficacy of Two Laparoscopic Surgical Procedures Combined with Hysteroscopic Incision in the Treatment of Cesarean Scar Diverticulum

Analysis on clinical association of uterine scar diverticulum with subsequent infertility in patients underwent cesarean section

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