Surgical Outcomes of Simultaneous Hysteroscopy/Laparoscopy for Cesarean-Section Niche Ectopic Pregnancy Management and Uterine Niche Repair
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 47
- 试验地点
- 2
- 主要终点
- Success Rate of Hysteroscopy in Restoring the normal endometrial metrics, and removing any uterine defects.
研究概览
简要总结
The study investigates the feasibility, safety, and outcomes of a simultaneous surgical approach for cesarean scar ectopic pregnancy (CSEP). CSEP is a prevalent and serious form of ectopic pregnancy requiring swift intervention. The research explores using hysteroscopy and laparoscopy concurrently to manage the CSEP and repair the uterine scar defect. The procedure involved hysteroscopic-guided evacuation and a double-layer laparoscopic repair, followed by a second hysteroscopy to confirm the repair's effectiveness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 55 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Patients with positive clinical and lab pregnancy diagnosis;
- •Patients with history of at least one previous Cesarean section;
- •Patients with Transvaginal ultrasound documenting Cesarean scar ectopic Pregnancy;
排除标准
- •Patients with were extensive adhesions between the mass and the urinary bladder on MRI;
- •Patients with myomas, polyps, endometrial hyperplasia, and cancers of the cervix or endometrium;
- •Patients with a body mass index (BMI) of >35kg/m2;
- •Patients with previous abdominal surgeries with possible difficulties during laparoscopy;
- •Patients with menstrual irregularities, or coagulation disorders.
结局指标
主要结局
Success Rate of Hysteroscopy in Restoring the normal endometrial metrics, and removing any uterine defects.
时间窗: 6~7 months
The proportion of patients who restored their normal endometrial metrics and removed any uterine scars during the study, reflecting the effectiveness of the applied Hystreoscopy regimens.
Success Rate of Hysteroscopy in Restoring the normal endometrial metrics, and removing any uterine defects.
时间窗: 6~7 months
The proportion of patients who restored their normal endometrial metrics and removed any uterine scars during the study, reflecting the effectiveness of the applied Hystreoscopy regimens.
次要结局
未报告次要终点
研究者
Shereen Naguib
Lecturer of Obstetrics & Gynecology, Faculty of Medicine
Benha University