Actively Recruiting

Phase Not Applicable
Age: 20Years - 45Years
FEMALE
ID07183501

Combined Hystroscopic and Laparoscopic Repair of Cesarean Section Scar Disorder

Led by Assiut University · Updated on 2025-09-19

30

Participants Needed

1

Research Sites

8 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research evaluates a new combined hystroscopic and laparoscopic technique to repair symptomatic uterine niches, which are complications related to cesarean section scars. The study aims to improve symptom resolution and increase residual myometrial thickness after repair. Women experiencing postmenstrual spotting due to uterine niche are the focus of this study. Participants will undergo a two-step procedure starting with hystroscopic isthmoplasty to remove unhealthy scar tissue edges, followed by laparoscopic excision of the scar and repair of the uterine defect. This combined approach is being studied to maximize symptom relief and tissue restoration. During the study, researchers will monitor changes in residual myometrial thickness three months after the procedure and assess the number of patients who experience complete symptom resolution at the same timepoint. The total participation duration includes follow-ups to evaluate these primary and secondary outcomes under medical supervision.

CONDITIONS

Brief Title

Combined Hystroscopic and Laparoscopic Repair of CS Scar Disorder

Who Can Participate

Age: 20Years - 45Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Symptomatic uterine niche with postmenstrual spotting
Not Eligible

You will not qualify if you...

  • Contraindications for endoscopy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Surgery and Immediate Post-operative Care

Duration - Up to 1 week

Participants undergo combined hystroscopic and laparoscopic repair of the cesarean section scar, followed by immediate post-operative care.

1 surgical visit and several post-operative visits

Post-operative Follow-up

Duration - 3 months

Participants are monitored for recovery and resolution of symptoms after surgery.

Approximately 3 follow-up visits

Trial Site Locations

Total: 1 location

1

Assiut university, women health hospital

Asyut, Asyut Governorate, Egypt, 71511

Actively Recruiting

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Research Team

A

Abdulrahman Rageh, Lecturer

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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