Studie naar hysteroscopische behandeling van littekendefecten na sectio bij patienten met abnormaal uterien bloedverlies.

There is a association between uterine bleeding disorders and a cesarean scar defect. Patients with abnormal uterine bleeding and a cesarean scar defect in the uterus (seen by contrast sonohysterography) will undergo a hysteroscopic resection of the scarred tissue. Primairy outcome is decrease of days of abnormal bleeding. Secundairy outcome are patients satisfaction, quality of live and decrease of dysmenorrhoe. Also the safety of the procedure will be investigated. Patients fullfill a questionaire and a pictorial chart of their menstruation before operation and 3 and 12 months post operative. And will have a contrast sonohysterography before operation and 3 moths post operative.

Is resection of cesarean scar tissue in patients with a cesarean scar defect and abnormal bleeding a safe and effective treatment.

Questionaire at inclusion, 3 en 12 months post operative.

Hysteroscopic resection of cesarean scar tissue in uterus/cervix.