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Clinical Trial Summary

The treatment of uterine niche ranges from clinical management with expectant or pharmacological treatment, surgical treatment. Approaches for repair include Laparotomy, laparoscopy , hysteroscopy , vaginal. The decision to treat takes into consideration the size of the defect, presence of symptoms, secondary infertility and plans of pregnancy.

All of the approaches have its merits and debates. There is ongoing debate regarding the best surgical approach to managing this condition. To date no randomized controlled trials have been published to settle this debate.

Our study aim is to to evaluate which surgical approach is a preferable option, this study will be conducted to compare the Laparoscopic and transvaginal approaches in several regards, including, operation time, blood loss, perioperative complications, hospital stay length, postoperative increase in residual myometrial thickness during follow-up , clinical efficacy(percentage of patients who subject improvement of symptoms)


Clinical Trial Description

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Study Design


Related Conditions & MeSH terms


NCT number NCT04241107
Study type Interventional
Source Assiut University
Contact Abdulrahman Muhammad Rageh, M.Sc
Phone 02 01005056259
Email Abdulrahmanrageh.26.9@gmail.com
Status Recruiting
Phase N/A
Start date March 2020
Completion date March 2022

See also
  Status Clinical Trial Phase
Completed NCT04825821 - Cesarean Scar Defects After Uterine Closure by Double-layer Barbed or Smooth Suture
Recruiting NCT04799457 - Comparison the Effect of Uterine Closure Technique Difference on Uterine Niche After Caesarean Delivery. N/A