[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"cesarean-scar-defect\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:cesarean-scar-defect":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,42],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":28,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":32,"lastUpdatePostDateStruct":33,"startDateStruct":36,"completionDateStruct":37,"leadSponsor":39,"locationsCount":4},"100586564","hysteroscopic-360-surgery-for-improvement-of-symptoms-in-cesarean-scar-defects-100586564",false,"NCT06917014","Hysteroscopic \"360°\" Surgery for Improvement of Symptoms in Cesarean Scar Defects","A Randomized Controlled Study of Hysteroscopic \"360°\" Surgery for Improvement of Symptoms in Cesarean Scar Defects","Inclusion Criteria:\n\n* Patients with surgical adaptation: changes in menstruation after cesarean section (prolonged menstrual period)\n* No surgical contraindications;\n* Age 18-45 years old;\n* The thickness of residual muscle layer measured by ultrasound is greater than or equal to 2.5mm;\n* Patients with symptoms that have not improved significantly for more than 1 month after oral short-acting contraceptive cycle treatment or who strongly require surgery;\n* Understand and agree to the research plan.\n\nExclusion Criteria:\n\n* Patients with other diseases that may cause abnormal uterine bleeding (including endometrial polyps, endometrial hyperplasia, submucosal myoma, etc.) indicated by two-dimensional ultrasound\n* There are contraindications of surgery: such as severe internal and surgical complications, pregnancy, reproductive tract infection, malignant tumor;","FEMALE","18 Years","45 Years",{"count":20,"type":21},88,"ESTIMATED","INTERVENTIONAL",[24],"NA","Patients with symptomatic Cesarean Scar Defect (CSD) who are expected to undergo hysteroscopic surgery will be randomly divided into the traditional hysteroscopic \"channelization\" treatment group and the hysteroscopic \"360 °\" Surgery group of cesarean diverticulum, and the improvement of postoperative clinical symptoms of the two groups will be compared. To evaluate the effectiveness of the two surgical methods.\n\nThe purpose of this study was to evaluate the improvement of symptoms of women with symptomatic cesarean diverticulum through a high-quality randomized controlled study, in order to provide high-level evidence-based medical evidence for clinical treatment.",[27],"Cesarean Scar Defect",[29,30],"Hysteroscopic \"360°\" Surgery","Cesarean Scar Defects","NOT_YET_RECRUITING","2025-05-14",{"date":34,"type":35},"2025-05-16","ACTUAL",{"date":34,"type":21},{"date":38,"type":21},"2029-11",{"name":40,"class":41},"Fu Xing Hospital, Capital Medical University","OTHER",{"id":43,"slug":44,"hasResults":11,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":48,"eligibilityCriteria":49,"healthyVolunteers":50,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":51,"targetDuration":4,"studyType":22,"phases":53,"briefSummary":54,"conditions":55,"keywords":63,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":69,"lastUpdatePostDateStruct":70,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":78},"100569246","clinical-impact-of-uterine-repair-during-cesarean-section-with-barbed-suture-on-the-incidence-of-isthmocele-100569246","NCT06691750","Clinical Impact of Uterine Repair During Cesarean Section with Barbed Suture on the Incidence of Isthmocele","Clinical Impact of Uterine Repair During Cesarean Section with Barbed Suture on the Incidence of Isthmocele and Its Ultrasound and Molecular Characteristics: a Randomized Controlled Trial","CESARIS","Inclusion Criteria:\n\n* Pregnant women who deliver at Hospital Clinic of Barcelona by a planned, intrapartum or urgent cesarean section, irrespective of their pregnancy risk.\n* Had accepted to participate in the study during the third trimester of gestation.\n* Patients who accept a 6-month follow-up visit.\n* Minimal maternal age of 18 years old.\n\nExclusion Criteria:\n\n* Patients who end up delivering in another center.\n* Patients who deliver by vaginal route.\n* Patients diagnosed with isthmocele prior to the current pregnancy.\n* Need for histerectomy in the following 6 months after delivery.\n* Patients with known allergies to any of the components of the barbed suture.",true,{"count":52,"type":21},364,[24],"Pregnant women, irrespective of their pregnancy risk, who undergo a cesarean section for any reason will be randomized to one of two suturing techniques: conventional suture or barbed suture for uterine repair after the cesarean section. Following surgery, these patients will be followed up for clinical outcomes, ultrasound evaluation of the uterine scar, and study of the hypoxic-inflammatory environment of the uterine cavity.",[56,27,57,58,59,60,61,62],"Isthmocele","Pelvic Pain","Spotting","Infertility","Uterine Niche","Uterine Abnormal Bleeding","Niche",[56,64,65,66,67],"Uterine niche","Cesarean scar defect","Barbed suture","Cesarean section","RECRUITING","2025-03-10",{"date":71,"type":35},"2025-03-13",{"date":73,"type":35},"2024-11-22",{"date":75,"type":21},"2028-05",{"name":77,"class":41},"Hospital Clinic of Barcelona",1]