{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T21:32:39Z","timestamp":1776288759243,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T00:00:00Z","timestamp":1552348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate transvaginal repair versus laparoscopic repair of cesarean scar\u00a0defects (<jats:styled-content style=\"fixed-case\">CSD<\/jats:styled-content>s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted among 67 symptomatic women with <jats:styled-content style=\"fixed-case\">CSD<\/jats:styled-content>s who attended a tertiary hospital in Beijing, China, between July 1, 2013, and March 31, 2017. The participants underwent either transvaginal repair (n=31) or laparoscopic repair (n=36). Medical costs, perioperative outcomes, and surgical outcomes were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No statistically significant between\u2010group differences were found at baseline. The mean thickness of the residual myometrium increased from 1.71\u00a0\u00b1\u00a00.67\u00a0mm before surgery to 4.41\u00a0\u00b1\u00a02.09\u00a0mm after surgery in the transvaginal repair group (<jats:italic>P<\/jats:italic>&lt;0.001), and from 1.81\u00a0\u00b1\u00a00.93 to 4.68\u00a0\u00b1\u00a01.96\u00a0mm in the laparoscopic repair group (<jats:italic>P<\/jats:italic>&lt;0.001). The duration of menses after surgery was less than 10\u00a0days in both the transvaginal repair group (n=30, 96.3%) and the laparoscopic repair group (n=30, 83.9%; <jats:italic>P<\/jats:italic>=0.113). Operative time and medical costs were both lower in the transvaginal repair group than in the laparoscopic repair group (<jats:italic>P<\/jats:italic>&lt;0.001). Conception rates for the two groups were similar among women who desired fertility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transvaginal repair of <jats:styled-content style=\"fixed-case\">CSD<\/jats:styled-content> was associated with reduced operative times and medical costs when compared with laparoscopic repair.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12797","type":"journal-article","created":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T03:10:17Z","timestamp":1551150617000},"page":"199-204","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of transvaginal repair versus laparoscopic repair of lower\u2010segment cesarean scar defects"],"prefix":"10.1002","volume":"145","author":[{"given":"Duoduo","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking Union Medical College Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuo","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking Union Medical College Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Peking Union Medical College Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.18663"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5200"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12542"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-199501000-00004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2016.09.033"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.890642"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2016.06.013"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2006.01.020"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2016.04.011"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.10.004"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.11.038"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.09.011"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2016.10.017"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2012.03.010"},{"key":"e_1_2_7_16_1","first-page":"367","article-title":"Laparoscopic repair of a uteroperitoneal fistula","volume":"7","author":"Jacobson MT","year":"2003","journal-title":"JSLS"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2016.01.007"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.01.019"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12334"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)90464-X"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.05.066"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02688.x"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f2de49"},{"key":"e_1_2_7_24_1","first-page":"1","article-title":"Vaginal birth after cesarean: New insights","volume":"191","author":"Guise JM","year":"2010","journal-title":"Evid Rep Technol Assess (Full Rep)"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7496"}],"container-title":["International Journal of Gynecology &amp; 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