Analysis of the effects of different minimally invasive methods in the treatment of previous cesarean scar defect after cesarean section

ObjectiveTo investigate the effects of different minimally invasive surgical methods in the treatment of previous cesarean scar defect(PCSD) after cesarean section.

MethodsOne hundred and forty-four hospitalized patients with PCSD were selected.According to different surgical methods, the patients were divided into the vaginal surgery group(group A, 36 cases), hysteroscopic surgery group(group B, 71 cases) and hysteroscopic combined with surgery group(group C, 37 cases).The length of hospital stay, hospitalization cost, intraoperative blood loss, postoperative vaginal bleeding time, postoperative incidence rate of disease, postoperative symptom recovery and other indicators were compared among three groups.

ResultsThe length and cost of hospitalization in group C were higher than those in group A and group B; the duration of postoperative vaginal bleeding in group C was higher than that in group A and group B, the amount of intraoperative bleeding in group A was higher than that in group B and group C, and the postoperative incidence rate of disease in group A was higher than that in group B and group C; the therapeutic effects of group B and group C were significantly higher than that in group A; and the differences of which were statistically significant (P < 0.05 to P < 0.01).

ConclusionsThe three different surgical methods have different advantages and certain clinical effects.The short hospitalization time, low hospitalization cost and short postoperative vaginal bleeding time are the advantages of vaginal surgery, while its disadvantages are relatively large amount of intraoperative blood loss, high postoperative incidence rate of disease rate and low postoperative cure rate.The short hospitalization time, low hospitalization cost, short postoperative vaginal bleeding time, relatively low postoperative incidence rate of disease and high postoperative cure rate are the advantages of hysteroscopic surgery.The highest postoperative cure rate is the advantage of hysteroscopy combined with surgery, but its disadvantages are high hospitalization cost, hospital stay and long postoperative vaginal bleeding time.