Hysteroscopic guided, laparoscopic excision of caesarean scar defect: video presentation of a combined technique

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Laparoscopic excision of caesarean scar ectopic pregnancy.

A 36-year-old female who had a emergency caesarean section 7 years ago due to fetal distress, this time presented to the clinic for the dating scan. Transvaginal ultrasound showed a gestational sac of 21 mm size with a fetal pole over the previous caesarean scar and there were no free fluid in the peritoneal cavity. Patient was clinically asymptomatic on presentation. Laparoscopic excision of c...

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Hysteroscopic resection of a uterine caesarean scar defect (niche) in women with postmenstrual spotting: a randomised controlled trial

OBJECTIVE To compare the effectiveness of a hysteroscopic niche resection versus no treatment in women with postmenstrual spotting and a uterine caesarean scar defect. DESIGN Multicentre randomised controlled trial. SETTING Eleven hospitals collaborating in a consortium for women's health research in the Netherlands. POPULATION Women reporting postmenstrual spotting after a caesarean sect...

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The HysNiche trial: hysteroscopic resection of uterine caesarean scar defect (niche) in patients with abnormal bleeding, a randomised controlled trial

BACKGROUND A caesarean section (CS) can cause a defect or disruption of the myometrium at the site of the uterine scar, called a niche. In recent years, an association between a niche and postmenstrual spotting after a CS has been demonstrated. Hysteroscopic resection of these niches is thought to reduce spotting and menstrual pain. However, there are no randomised trials assessing the effectiv...

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effect of oral presentation on development of l2 learners grammar

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ژورنال

عنوان ژورنال: Journal of Surgical Case Reports

سال: 2019

ISSN: 2042-8812

DOI: 10.1093/jscr/rjz034