{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:42:53Z","timestamp":1787236973054,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,1,20]],"date-time":"2020-01-20T00:00:00Z","timestamp":1579478400000},"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":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study was conducted to evaluate comparative clinical outcomes of hysteroscopy\u2010assisted transvaginal repair in the treatment of cesarean scar defect (CSD) in patients desirous of conceiving again.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively enrolled 63 patients with CSD who were treated at Beijing Hospital between January 2014 and January 2016. Patients were divided into the hysteroscopic electrocauterization group (electrocauterization group,\n                      <jats:italic>n<\/jats:italic>\n                      = 28) and hysteroscopy\u2010assisted transvaginal repair group (transvaginal group,\n                      <jats:italic>n<\/jats:italic>\n                      = 35). Perioperative parameters including operation time, intraoperative blood loss, time to passage of flatus, hospitalization duration, duration of postoperative vaginal bleeding, pre\u2010 and postoperative myometrial thickness, rate of full\u2010term births and surgical complications were compared between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At the 6\u2010month follow\u2010up, myometrial thickness was significantly greater in the transvaginal group (9.8\u2009\u00b1\u20091.0\u2009mm) compared to the electrocauterization group (3.3\u2009\u00b1\u20090.7\u2009mm,\n                      <jats:italic>P\u2009&lt;<\/jats:italic>\n                      0.05). One patient in the transvaginal group required intraoperative conversion to laparotomy because of surgical complications. The transvaginal group had a significantly higher rate of full\u2010term live birth compared to the electrocauterization group (92% vs 46%,\n                      <jats:italic>P\u2009&lt;<\/jats:italic>\n                      0.05). There were no significant between\u2010group differences in the other pre\u2010, intra\u2010, and postoperative parameters. The maximum postoperative diameter of the CSD in the transvaginal and electrocauterization groups was 1.6\u2009\u00b1\u20090.8 and 17\u2009\u00b1\u20092.0\u2009mm, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared to hysteroscopic electrocauterization, hysteroscopy\u2010assisted transvaginal repair of CSD was associated with better clinical outcomes and higher rate of full\u2010term live births.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.14161","type":"journal-article","created":{"date-parts":[[2020,1,20]],"date-time":"2020-01-20T22:30:35Z","timestamp":1579559435000},"page":"279-285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Clinical outcomes of hysteroscopy\u2010assisted transvaginal repair of cesarean scar defect"],"prefix":"10.1111","volume":"46","author":[{"given":"Dan","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Gynecology, Beijing Hospital National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengli","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Beijing Hospital National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Beijing Hospital National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Beijing Hospital National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Beijing Hospital National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiubo","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Beijing Hospital National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  P.R. 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