Status:

COMPLETED

Comparative Effectiveness of Uterine Repair Surgery on Preventing Recurrence of Cesarean Sar Pregnancy

Lead Sponsor:

Women's Hospital School Of Medicine Zhejiang University

Collaborating Sponsors:

Peking University

Conditions:

Pregnancy Complications

Eligibility:

FEMALE

18-45 years

Phase:

NA

Brief Summary

The goal of this observational study is to learn about the long-term effects of resection surgery which is cesarean scar pregnancy(CSP) excision plus hysterotomy closure in CSP patients to treat their...

Detailed Description

Background Cesarean scar pregnancy (CSP) is a rare but prognostically severe obstetrics and gynecology complication. There have been well-developed techniques for the initial treatment of CSP. However...

Eligibility Criteria

Inclusion

  • This retrospective study screened 1027 CSP individuals from the multiple center Medical Record Data System (MRDS) from three large hospitals in China, recorded between Jan 1, 2019, and Dec 31, 2022.
  • Conservative surgeries included dilatation and curettage (D\&C) and hysteroscopy, and resection surgeries included CSP excision plus hysterotomy closure
  • Based on the widespread clinical utility of diagnostic criteria, four factors pertaining to patients, namely amenorrhea, clinical manifestations, laboratory results, and 3-D ultrasound or MRI findings, were thoroughly examined.
  • All participants were subsequently verified pathologically to confirm the presence of CSP.
  • Chinese CSP classification was selected as investigate group.
  • The international group encompasses endogenous and exogenous were selected as control group.

Exclusion

  • those with incomplete medical record information or follow-up data;
  • those who did not undergo their first surgery at any of the three hospitals;
  • individuals without fertility requirements or have adopted long-term contraception were excluded;
  • who underwent surgery after December 31, 2022 were excluded, even if they became pregnant during the follow-up time.

Key Trial Info

Start Date :

January 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2024

Estimated Enrollment :

606 Patients enrolled

Trial Details

Trial ID

NCT06485180

Start Date

January 1 2019

End Date

June 1 2024

Last Update

July 10 2024

Active Locations (1)

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Women's hospital, school of medicine, zhejiang university

Hangzhou, Zhejiang, China, 310006

Comparative Effectiveness of Uterine Repair Surgery on Preventing Recurrence of Cesarean Sar Pregnancy | DecenTrialz