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To examine the correlation between the occurrence of adenomyosis and the outcome of vaginal repair of cesarean section scar defects (CSD), women with CSD will be enrolled in this retrospective observational cohort study. According to preoperative magnetic resonance imaging (MRI) findings, patients will be divided into two groups, the adenomyosis group and the non-adenomyosis group. They all will have vaginal excision and suture of CSD and will be required to undergo examinations at 3- and 6-months after surgery. Preoperative and postoperative clinical information will be collected.
Women with CSD will be enrolled in this study. According to preoperative magnetic resonance imaging (MRI) findings, patients will be divided into two groups, the adenomyosis group and the non-adenomyosis group. They all underwent vaginal excision and suture of CSD and will be required to undergo examinations at 3- and 6-months after surgery. Preoperative and postoperative clinical information will be collected. Optimal healing was defined as a duration of menstruation of no more than 7 days and a TRM of no less than 5.30 mm after vaginal repair
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| adenomyosis group | CSD with adenomyosis |
| |
| non-adenomyosis group | CSD without adenomyosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No Intervention | Other | No more intervention will be given. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean duration of menstruation | Mean duration of menstruation | on Days: 30 |
| Mean duration of menstruation | Mean duration of menstruation | on Days: 60 |
| Mean duration of menstruation | Mean duration of menstruation | on Days: 90 |
| The thickness of the residual myometrium | The thickness of the residual myometrium | on Days: 90 |
| Measure | Description | Time Frame |
|---|---|---|
| reproductive information | reproductive information by questionnaire, including abortion, delivery, childbirth, etc. | 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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Non-pregnant patients who had one or more cesarean sections, patients who had intermenstrual spotting after the cesarean section or those in which the TRM was less than 3.0 mm at the preoperative stage
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xipeng Wang, Dr | Contact | 862125078999 | 8213 | wangxipeng@xinhuamed.com.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine | Shanghai | Shanghai Municipality | 200092 | China |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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