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Treatment of Symptomatic Uterine Niche Using Combined Hystroscopic and Laparoscopic Repair in Women Aged 20 to 45
Led by Assiut University · Updated on 2025-09-19
30
Participants Needed
1
Research Sites
8 weeks
Total Duration
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
Research Team
A
Abdulrahman Rageh, Lecturer
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