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The effect of the laparoscopic reconstruction of a caesarean scar (?Niche?)

Not Applicable
Completed
Conditions
Abnormal Uterine Bleeding / Niche resection
Surgery
Registration Number
ISRCTN02271575
Lead Sponsor
VU University Medical Center (Netherlands)
Brief Summary

2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37700545/ Long-term follow-up (added 14/09/2023)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
133
Inclusion Criteria

1. A niche with residual myometrium < 3 mm (as measured with SIS / GIS)
2. Complaints of abnormal uterine blood loss, dysmenorrhoea or accumulation of intracavitary fluid
3. Premenopausal women aged above 18

Exclusion Criteria

1. Pregnancy
2. Age below 18
3. Other disorders that may induce spotting [polyps (everywhere in the uterus/cervix are exclusion criteria except those in the niche)], fibroids, known atypical endometrial cells, cervical dysplasia, cervical or pelvic infection, assumed malignancy, irregular cycle (>35 days or intercycle variation of 2 weeks or more)
4. Contra-indications for spinal or general anaesthesia

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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