Indication Criteria of Hysteroscopic Surgery for Secondary Infertility due to Symptomatic Cesarean Scar Defect Based on Clinical Outcomes: A Retrospective Cohort Study

Tsuji, Shunichiro; Nobuta, Yuri; Yoneoka, Yutaka; Nakamura, Akiko; Amano, Tsukuru; Takebayashi, Akie; Hanada, Tetsuro; Murakami, Takashi

doi:10.1016/j.jmig.2023.03.012

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…In terms of effectiveness, Zeller et al 103 demonstrated no significant difference in postoperative pregnancy rate between severe defect (RMT ≤3 mm) and non‐severe defect (RMT >3 mm) groups. Although RMT alone could not identify indications for resectoscopic surgery, our group revealed the indication criteria for hysteroscopic surgery by adding age as a factor 104 . The criterion was RMT ≥2.2 mm.…”

Section: Hysteroscopic Surgery In Women With Csdimentioning

confidence: 91%

“…Although RMT alone could not identify indications for resectoscopic surgery, our group revealed the indication criteria for hysteroscopic surgery by adding age as a factor. 104 The criterion was RMT ≥2.2 mm. Various infertility factors exist in older patients; therefore, it is difficult to determine the indications for surgery using RMT alone.…”

Section: Hysteroscopic Surgery In Women With Csdimentioning

confidence: 99%

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Prevalence, definition, and etiology of cesarean scar defect and treatment of cesarean scar disorder: A narrative review

Tsuji

Nobuta

Hanada

et al. 2023

Reprod Medicine & Biology

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BackgroundCesarean scar defects (CSD) are caused by cesarean sections and cause various symptoms. Although there has been no previous consensus on the name of this condition for a long time, it has been named cesarean scar disorder (CSDi).MethodsThis review summarizes the definition, prevalence, and etiology of CSD, as well as the pathophysiology and treatment of CSDi. We focused on surgical therapy and examined the effects and procedures of laparoscopy, hysteroscopy, and transvaginal surgery.Main findingsThe definition of CSD was proposed as an anechoic lesion with a depth of at least 2 mm because of the varied prevalence, owing to the lack of consensus. CSD incidence depends on the number of times, procedure, and situation of cesarean sections. Histopathological findings in CSD are fibrosis and adenomyosis, and chronic inflammation in the uterine and pelvic cavities decreases fertility in women with CSDi. Although the surgical procedures are not standardized, laparoscopic, hysteroscopic, and transvaginal surgeries are effective.ConclusionThe cause and pathology of CSDi are becoming clear. However, there is variability in the prevalence and treatment strategies. Therefore, it is necessary to conduct further studies using the same definitions.

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Section: Hysteroscopic Surgery In Women With Csdimentioning

confidence: 91%

Section: Hysteroscopic Surgery In Women With Csdimentioning

confidence: 99%

Prevalence, definition, and etiology of cesarean scar defect and treatment of cesarean scar disorder: A narrative review

Tsuji

Nobuta

Hanada

et al. 2023

Reprod Medicine & Biology

Self Cite

View full text Add to dashboard Cite

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Emerging data on diagnosis and management of uterine isthmoceles: a rapid review

Cook,

Jesse,

Harvey

2024

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review With a rising number of cesarean sections, the prevalence of uterine isthmoceles is increasing. We performed a rapid review to assess the most recent data on the diagnosis and management of uterine isthmoceles over the past 18 months to identify current trends and directions for continued research. Recent findings A comprehensive search was conducted in PubMed (NLM), Embase (Ovid), CINAHL (EBSCOhost) to find English written articles discussing the diagnosis or management of uterine isthmoceles published in the previous 18 months. Data extraction was performed on one hundred articles that met inclusion criteria. Summary This rapid review highlights agreement regarding diagnostic methods, symptoms, and recommended treatment paths for patients with symptomatic uterine niches. However, the diversity in definitions hampers the capacity to formulate detailed conclusions regarding the features of uterine niches and their impact on women's health.

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Indication Criteria of Hysteroscopic Surgery for Secondary Infertility due to Symptomatic Cesarean Scar Defect Based on Clinical Outcomes: A Retrospective Cohort Study

Cited by 2 publications

References 23 publications

Prevalence, definition, and etiology of cesarean scar defect and treatment of cesarean scar disorder: A narrative review

Prevalence, definition, and etiology of cesarean scar defect and treatment of cesarean scar disorder: A narrative review

Emerging data on diagnosis and management of uterine isthmoceles: a rapid review

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