Combined Hystroscopic and Laparoscopic Repair of CS Scar Disorder

NCT07183501 — Not applicable, Recruiting, 30 participants, Assiut University

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Registry	NCT07183501
Status	Recruiting
Phase	Not applicable
Study type	Interventional; na, single group, masking: none, treatment
Enrollment	30 (Estimated)
Sponsor	Assiut University (Other)
Conditions	Cesarean Section Complications, Abnormal Uterine Bleeding
Interventions	Combined hystroscopic and laparoscopic repair (Procedure)
Dates	start 2024-06-01, primary completion 2027-01-01 (estimated), completion 2027-03-01 (estimated), first posted 2025-09-19, last updated 2025-09-19
Locations	1 site in Egypt

-Summary

Combined hystroscopic and laparoscopic repair of symptomatic uterine Niche as new technique to maximize resolution of symptoms after niche repair with concomitant increase in RMT

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+Arms and interventions

Arm	Type	Interventions	Description
Patients with symptomatic uterine niche	Experimental	Procedure: Combined hystroscopic and laparoscopic repair

Combined hystroscopic and laparoscopic repair (Procedure): Hystroscopic isthmoplasty will be done first to ensure removal of chronically inflamed Unhealthy edges of niche, then laparoscopic exison of scar will be dine, followed by repair of the defect

+Outcome measures

Primary outcomes

change in Residual Myometrial Thickness [3 months]: in mm

Secondary outcomes

Number of patients complete resolution of symptoms [3 months]: dissappearance of symptoms

+Eligibility

Sex: Female, ages: 20 Years to 45 Years

Inclusion Criteria:

* symptomatic uterine Niche :postmenstrual spotting

Exclusion Criteria:

* contraindications for endoscopy

+Locations (1)

Facility	City	Country	Status
Assiut university, women health hospital	Asyut, Asyut Governorate	Egypt	Recruiting