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Comparing levonorgestrel intrauterine system versus hysteroscopic resection in patients with postmenstrual spotting related to a niche in the caesarean scar (MIHYS NICHE trial): protocol of a randomised controlled trial.

Author: HeChuqing, HeXiaoqing, HuirneJ A F, LiangYan, MolBen W, SunTaotao, XieLi, YanLi, ZhangJian, ZhaoXiaoya, ZhuChenfeng

Clinical Trial ProtocolA plan for conducting a clinical trial. It describes in detail the purpose, design, methodology, and statistical considerations of the trial, ensuring the transparency and consistency of the trial.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Overview

This study will compare the effectiveness of LNG-IUS 52 mg and hysteroscopic niche resection in improving postmenstrual spotting related to a niche in women.
Paper Details　
Original Abstract of the Article :
Recently, the rate of caesarean sections (CS) worldwide has risen and CS-associated complications such as niche have increased substantially. Until now, evidence-based clinical guidelines for the treatment of niche-related symptoms remain absent. In patients with postmenstrual spotting, it has not b...See full text at original site
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引用元：
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407223/

データ提供：米国国立医学図書館（NLM）

Caesarean Scar Niche: A Desert Oasis of Complications

Caesarean sections (CS), a common surgical procedure for childbirth, can sometimes lead to complications, including the formation of a niche in the caesarean scar. This study explores the effectiveness of two different treatments for postmenstrual spotting related to a niche in the caesarean scar.

The study compares the effectiveness of levonorgestrel 52mg intrauterine system (LNG-IUS 52mg) with hysteroscopic niche resection in women experiencing postmenstrual spotting due to a caesarean scar niche. The researchers designed a randomized controlled trial to assess the efficacy of these two treatments.

LNG-IUS 52mg vs. Hysteroscopic Resection: Finding the Right Oasis

The study aims to determine if LNG-IUS 52mg is more effective than hysteroscopic niche resection in improving postmenstrual spotting related to a caesarean scar niche. The researchers will analyze the outcomes of the trial, comparing the effectiveness of both treatments at 6 months after randomization.

Managing Caesarean Scar Complications: Seeking Relief and Solutions

This study highlights the need for effective treatments for postmenstrual spotting related to a caesarean scar niche. It underscores the importance of understanding the potential benefits and risks associated with different treatment options and encourages women experiencing these complications to consult with a healthcare professional to find the best solution for their individual needs.

Dr.Camel's Conclusion

Caesarean scar niche can be a challenging desert oasis of complications, causing postmenstrual spotting. This study explores the effectiveness of LNG-IUS 52mg and hysteroscopic niche resection, offering hope for finding the right solution for women experiencing these complications. By conducting a randomized controlled trial, researchers aim to provide evidence-based guidance for managing this condition and improving the well-being of women affected by caesarean scar complications.

Date :
  1. Date Completed 2021-09-14
  2. Date Revised 2021-09-17
Further Info :

Pubmed ID

34462279

DOI: Digital Object Identifier

PMC8407223

Related Literature

Article Analysis
・Effects of levonorgestrel intrauterine system
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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