The effect of laparoscopic resection of large niches in the uterine caesarean scar on symptoms, ultrasound findings and quality of life: a prospective cohort study.

ABSTRACT:

Objective

To evaluate the effectiveness of a laparoscopic niche resection on niche-related symptoms and/or fertility-related problems, ultrasound findings and quality of life.

Design

Prospective cohort study.

Setting

University hospital.

Population

Women with a large niche (residual myometrium <3 mm) and complaints of either postmenstrual spotting, dysmenorrhoea, intrauterine fluid accumulation and/or difficulties with embryo transfer due to distorted anatomy.

Methods

Women filled out questionnaires and a validated menstrual score chart at baseline and 6 months after the laparoscopic niche resection. At baseline and between 3 and 6 months follow up niches were evaluated by transvaginal ultrasound.

Main outcome measures

The primary outcome was redu

SUBMITTER: Vervoort A 

PROVIDER: S-EPMC5811817 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature