An interventional study of three steps hysteroscopic resection of an isthmocele in Abnormal Uterine Bleeding, sponsored by Mervit Sersy. Status unknown at 1 site in Egypt. Open to female participants aged 25 Years to 45 Years. Per ClinicalTrials.gov, last updated 2021-09-30.
Sponsored by Mervit Sersy · Not applicable, Interventional, and Treatment
Isthmocele is one complications of repeat cesarean sections which is considered as a pocket .that accumulate menstrual blood causing post- menstrual spotting Hysteroscopic resection of the edges of the isthmocele is considered the best treatment option available up to date. Aim of the work: Asses the effectiveness of three steps method resection using hysteroscopy of an isthmocele in patients complained of post -menstrual bleeding with confirmed presence of isthmocele.
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The incidence rate of cesarean deliveries has been dramatically increased in Egypt.(1) Isthmocele is one of the known complications of repeat cesarean sections.(2) Post- menstrual spotting and many other gynecological complains have been correlated to this isthmocele which is considered as a pocket that accumulate menstrual blood. (3) Hysteroscopic resection of the edges of the isthmocele is considered the best treatment option available up to date.(4) Aim of the work: Asses the effectiveness of three steps method resection using hysteroscopy of an isthmocele in patients complained of post-menstrual bleeding with confirmed presence of isthmocele.
Patients: 50 patients complained of post-menstrual bleeding with confirmed presence of isthmocele. After written consent, the patient will be subjected to three steps hysteroscopic resection of an isthmocele by removing the distal edge of the niche then the proximal edge and lastly ball cauterization of the floor of the pouch of the isthmocele. Post-operative trans-vaginal ultrasound and follow up for 2 menstrual cycles.
156 studies on the registry are indexed under Uterine Hemorrhage; 19 are open to participants now.
This study's planned enrollment of 50 is below the median of 96 across 111 interventional studies indexed under Uterine Hemorrhage.
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Exclusion Criteria:
50 patients complained of post-menstrual bleeding with confirmed presence of isthmocele. After written consent, the patient will be subjected to three steps hysteroscopic resection of an isthmocele by removing the distal edge of the niche then the proximal edge and lastly ball cauterization of the floor of the pouch of the isthmocele. Post-operative trans vaginal ultrasound and follow up for 2 menstrual cycles.
Procedure: three steps hysteroscopic resection of an isthmocele
removing the distal edge of the niche then the proximal edge and lastly ball cauterization of the floor of the pouch of the isthmocele. Post-operative trans vaginal ultrasound and follow up for 2 menstrual cycles.
size of the the niche post operatively
effectiveness of three steps method resection using hysteroscopy of an isthmocele
Time frame: 2 months
improving of post menstrual bleeding
no more post menstrual spotting
Time frame: 2months
This study is status unknown, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.
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