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NCT Number: NCT06612957

A Randomized Controlled Study of Uterine Incision Diverticulum Repair vs. no Repair During Second/Third Cesarean Section

The goal of this study is to assess the efficacy and safety of uterine incision diverticulum repair during repeat cesarean section.The main questions it aims to answer are:

* Can this surgical method improve the symptom of menorrhagia? * Is this procedure safe? Researchers will compare experimental group(Cesarean section + diverticulum repair group) to control group(Conventional cesarean section group) to see if this surgical method works to treat or improve menorrhagia.

Participants will:

* randomly assigned 1:1 to the experimental group(repairing uterine diverticula during cesarean section) and the control group (Routine cesarean section without repairing the uterine incision diverticulum) * visit the hospital 42 days after surgery * followed up by telephone 6-12 months after surgery

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women aged ≥18 years, gestational age ≥37 weeks, singleton pregnancy, previous lower segment cesarean section, second or third cesarean section, and diagnosed with uterine incision diverticulum by imaging before or during early pregnancy.

Exclusion criteria

  • Preoperative indications of placenta accreta or previa, interdelivery interval less than 18 months from the last cesarean section, history of other uterine surgeries, and severe obstetric or medical complications requiring emergency care.

Treatment and study plan

Repair of uterine cicatricial diverticulum

Procedure

Cut off the uterine cicatricial diverticular tissue in the lower portion of the uterus, and restore normal uterine muscle tissue.

Primary outcomes

  1. Regularity of postpartum menstrual cycle

    Time frame: Six months after cesarean section

    Whether the symptoms of menorrhagia after cesarean section disappear or improve

Study contacts

Contact information is provided by the study sponsor or research team.

Zijun Wang, bachelor

CONTACT

[email protected]

+8618018590678

Sponsors and collaborators

Lead sponsor

Shanghai First Maternal and Infant Health Hospital affiliated to Tongji University Medical School

Other

Registry information

Official study title

A Randomized Controlled Study of Uterine Incision Diverticular Repair During Repeated Cesarean Section

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Sep 25, 2024
Registry last updated
May 21, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.