Clinical Management of Patients with Cesarean Scar Diverticulum with Fertility Requirements

doi:10.12280/gjfckx.20220003

Abstract

Abstract:

Cesarean scar diverticulum (CSD), as one of the complications after cesarean section, is caused by poor healing of uterine incision after cesarean section. The main clinical manifestations include abnormal uterine bleeding, pelvic pain and secondary infertility. Severe complications such as scar pregnancy, placental implantation and uterine rupture may occur during the following pregnancy. There are many treatment methods for CSD. Conservative treatment (such as intrauterine sustained release system, contraceptive, Traditional Chinese Medicine, etc.) can be used for small CSD patients with no fertility requirements and no obvious clinical symptoms. As the main method of CSD treatment, surgical treatment is mainly used to improve the clinical symptoms of patients, and reduce the occurrence of CSD complicated with secondary infertility and recurrent abortion. At present, there is no unified opinion on the need for treatment, treatment, opportunity of pregnancy and mode of delivery for CSD patients with fertility requirements.

Key words: Cesarean section, Uterus, Cicatrix, Diverticulum, Vaginal birth after cesarean, Uterine rupture

LIU Guang-pu, ZHANG Hui-xin. Clinical Management of Patients with Cesarean Scar Diverticulum with Fertility Requirements[J]. Journal of International Obstetrics and Gynecology, 2022, 49(4): 430-433.

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