Effect Of Hysteroscopic Correction of Symptomatic Caesarian Scar Defect in Women with An Explained Secondary Infertility: Randomized Controlled Trial
Khalifa, S., Aboali Hamza, H., Elsibai Anter, M. (2023). Effect Of Hysteroscopic Correction of Symptomatic Caesarian Scar Defect in Women with An Explained Secondary Infertility: Randomized Controlled Trial. EKB Journal Management System, 27(1), 52-61. doi: 10.21608/egyfs.2023.286062
Sherif Sobhy Menshawy Khalifa; Haitham Aboali Hamza; Mohamed Elsibai Anter. "Effect Of Hysteroscopic Correction of Symptomatic Caesarian Scar Defect in Women with An Explained Secondary Infertility: Randomized Controlled Trial". EKB Journal Management System, 27, 1, 2023, 52-61. doi: 10.21608/egyfs.2023.286062
Khalifa, S., Aboali Hamza, H., Elsibai Anter, M. (2023). 'Effect Of Hysteroscopic Correction of Symptomatic Caesarian Scar Defect in Women with An Explained Secondary Infertility: Randomized Controlled Trial', EKB Journal Management System, 27(1), pp. 52-61. doi: 10.21608/egyfs.2023.286062
Khalifa, S., Aboali Hamza, H., Elsibai Anter, M. Effect Of Hysteroscopic Correction of Symptomatic Caesarian Scar Defect in Women with An Explained Secondary Infertility: Randomized Controlled Trial. EKB Journal Management System, 2023; 27(1): 52-61. doi: 10.21608/egyfs.2023.286062

Effect Of Hysteroscopic Correction of Symptomatic Caesarian Scar Defect in Women with An Explained Secondary Infertility: Randomized Controlled Trial

The Egyptian Journal of Fertility and Sterility
Volume 27, Issue 1 - Serial Number 11106352, January 2023, Pages 52-61    PDF (3.8 M)
Document Type: Original Article
DOI: 10.21608/egyfs.2023.286062
Authors
Sherif Sobhy Menshawy Khalifa* 1; Haitham Aboali Hamza2; Mohamed Elsibai Anter2
1Department of Obstetrics & Gynecology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2Department of Obstetrics & Gynecology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Abstract
Background: One of the complications of Cesarean sec-tion, cesarean scar defect, has been shown to be associated with various gynecological and obstetric problems. Addi-tionally, cesarean scar defect may increase the risk for com-plications in gynecological procedures such as intrauterine device placement, evacuation, and embryo transfer.
Objective: to investigate the effect of hysteroscopic cor-rection of symptomatic caesarian scar defect in women with an explained secondary infertility.  
Patients and methods: A prospective, randomized study was conducted on women suffered from secondary delayed pregnancy after caesarean section with a scar at the site of the caesarean wound, who attended at the Obstetrics and Gyne-cology department, Menoufia University Hospitals, during the period between January 2021 and April 2022. 
Results: most patients in group A had positive pregnancy rate (53.33%) than patients in group B (23.33%) with a sig-nificant difference (P=0.017). 
Conclusion: In women with secondary infertility and a re-sidual myometrial thickness of less than 3 mm, hysteroscop-ic correction of a caesarean scar defect offers a minimally invasive method with a high success rate and no risks.
Keywords
Hysteroscopic correction; cesarean scar defect; Secondary Infertility; clinical pregnancy
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