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Last update 08 May 2025

Cesarean wound disruption

Last update 08 May 2025

Basic Info

Synonyms

Caesarean wound disruption, Cesarean wound disruption, Cesarean wound disruption (disorder)

+ [16]

Introduction

Asymptomatic separation of the uterine wall, usually at the site of a prior uterine scar, that does not include the overlying serosa.

145

Clinical Trials associated with Cesarean wound disruption

NCT06917014

/ Not yet recruitingNot ApplicableIIT

A Randomized Controlled Study of Hysteroscopic "360°" Surgery for Improvement of Symptoms in Cesarean Scar Defects

Patients with symptomatic Cesarean Scar Defect (CSD) who are expected to undergo hysteroscopic surgery will be randomly divided into the traditional hysteroscopic "channelization" treatment group and the hysteroscopic "360 °" Surgery group of cesarean diverticulum, and the improvement of postoperative clinical symptoms of the two groups will be compared. To evaluate the effectiveness of the two surgical methods.
The purpose of this study was to evaluate the improvement of symptoms of women with symptomatic cesarean diverticulum through a high-quality randomized controlled study, in order to provide high-level evidence-based medical evidence for clinical treatment.

Start Date01 Apr 2025

Sponsor / Collaborator

Capital University of Medical Sciences

PACTR202504494184668

/ SuspendedNot ApplicableIIT

A randomized controlled study of honey and iodine pastes in wound healing after caesarean section

Start Date28 Feb 2025

Sponsor / Collaborator-

ChiCTR2500096803

/ SuspendedNot ApplicableIIT

Deep Learning-based Ultrasound Image and Video Segmentation Methods for Cesarean Scar Defect

Start Date07 Feb 2025

Sponsor / Collaborator-

100 Clinical Results associated with Cesarean wound disruption

100 Translational Medicine associated with Cesarean wound disruption

0 Patents (Medical) associated with Cesarean wound disruption

569

Literatures (Medical) associated with Cesarean wound disruption

01 Dec 2025·Endoscopy

An innovative technique for closing a post-endoscopic submucosal dissection ulcer to prevent early dehiscence, the muscle-grasping clip with line pulley securing technique

Article

Author: Negishi, Ryoju ; Minato, Yohei ; Nagae, Shinya ; Ono, Kohei ; Ohata, Ken ; Madhu, Deepak ; Chiba, Hideyuki

01 Apr 2025·Journal of Minimally Invasive Gynecology

Is Vaginal Repair a Good Option for Severe Cesarean Scar Defect? Comparison of Women With or Without Residual Myometrium

Article

Author: CAPMAS, Perrine ; Debras, Elodie ; DEBRAS, Elodie ; Pourcelot, Anne-Gaelle ; Capmas, Perrine ; Fernandez, Hervé ; Bardet, Lena ; BARDET, Lena ; FERNANDEZ, Hervé ; Berl, Quentin ; BERL, Quentin ; POURCELOT, Anne-Gaelle

STUDY OBJECTIVETo compare outcomes of vaginal surgery in women with moderate or severe symptomatic cesarean scar defect (with or without residual myometrium).DESIGNRetrospective cohort study.SETTINGGynecology department of a teaching hospital.PATIENTSFifty-three women, between January 2014 and December 2019, underwent vaginal surgery for symptomatic cesarean scar defect: 20 women with moderate defect (with residual myometrium) and 33 with severe defect (without residual myometrium).INTERVENTIONSVaginal surgical approach to repair cesarean scar defect.MEASUREMENTS AND MAIN RESULTSsurgery by comparing the myometrial residual thickness before and after surgery. The secondary objectives were evaluation of vaginal surgery efficacy on symptoms resolution, per and postoperative courses, and subsequent fertility. Failure rate was evaluated as the need for a second surgery. After vaginal surgery, the residual myometrium significantly increased from 2.4 mm ± 0.9 mm to 6.6 mm ± 2.4 mm (p <.01) in the moderate group and from 0 mm to 4.4 mm ± 2.2 mm (p <.01) in the severe group. The prevalence of abnormal uterine bleeding was significantly reduced after surgery in both groups (p <.01). Pelvic pain was significantly reduced only in the moderate group (p <.01). The rate of complications (5% vs 9.1%) and second surgery (15% vs 24.2%) were not significantly different between moderate and severe groups, respectively. The median time to conceive (7 months vs 12 months); pregnancy rates (84.6% vs 68.2%); and live birth rates (76.9% vs 50%) were not statistically significant in the moderate and severe groups respectively, with 90% of pregnancies occurring naturally. Women delivered by cesarean section at 38 weeks of gestation in both groups, and no uterine rupture was reported.CONCLUSIONDespite the absence of residual myometrium, vaginal repair of severe cesarean scar defect was effective in increasing myometrial thickness, in relieving bleeding symptoms, and in allowing to achieve pregnancy.

01 Apr 2025·Fertility and Sterility

A novel approach for cesarean scar defect repair: translating hysteroscopic markings into laparoscopic precision with the Taurus T method

Article

Author: Hirata, Tetsuya ; Sako, Yusuke

OBJECTIVETo present the "Taurus T Method," a novel 3-step approach that simplifies our previously reported nonperfusion hysteroscopy technique for cesarean scar defect (CSD) repair by eliminating the need for simultaneous screen monitoring.DESIGNA technical video introducing the laparoscopic repair of CSD using the "Taurus T Method." This study was approved by the institutional review board (approval number: R22-093).SETTINGA tertiary care gynecology center.PATIENTSA 35-year-old woman presented with secondary infertility after a cesarean section performed 3 years ago at 38 weeks of gestation because of breech presentation. She underwent 4 cycles of intrauterine insemination and 4 embryo transfers via in vitro fertilization for unexplained infertility, but none resulted in pregnancy. During infertility treatment, she experienced irregular bleeding, and ultrasonography revealed blood pooling in the CSD.INTERVENTIONSThe "Taurus T Method" involves 3 key surgical steps: Step 1: Under hysteroscopic guidance, mark the cephalad and caudal ends of the defect with straight needles. Step 2: Insert a Hegar dilator into the defect and bend the uterine fundus dorsally to achieve a retroverted position. This procedure generates the "Taurus sign," ensuring optimal uterine positioning for the resection of the CSD lesion within the laparoscopic field of view. Step 3: Perform a T-shaped excision between the needles: a vertical incision followed by a horizontal cut along the cephalad margin. The needle markings translate hysteroscopic findings into a laparoscopic view, allowing surgeons to focus on the laparoscopic screen during the excision phase.PRIMARY OUTCOME MEASURE(S)Complete excision of the CSD and improvement in patient symptoms through the 3-step surgical technique.RESULTSThe "Taurus T Method" achieved accurate CSD excision, although recognizing both the vertical and lateral extent through the laparoscopic view minimizing unnecessary tissue removal.CONCLUSION(S)The "Taurus T Method" is a systematic approach for accurately identifying and removing the CSD. The "Taurus sign" enables recognition of the defect's vertical extent, whereas the T-shaped incision allows precise visualization of its lateral extent, ensuring complete excision.

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