A Study of 12 Cases of Cesarean Scar Syndrome Treated by Scar Resection Guided by Hysteroscopic Observation of a Needle Punctured from the Abdominal Cavity

In recent years, Cesarean Scar Disorder (CSDi) has been gaining attention due to its association with niche formation in the uterine incision post-cesarean section, leading to symptoms such as prolonged menstruation, abnormal bleeding, and infertility. Although various treatment approaches have been reported, a standardized procedure remains elusive, with limited reports on fertility improvement post-treatment and pregnancy outcomes. This study aimed to report the treatment outcomes of hysteroscopy-assisted cesarean scar repair surgery, including postoperative pregnancy results. Specifically, we focused on identifying the extent of scar tissue removal during abdominal scar repair surgery and evaluate the technique's effectiveness at our institution. All 12 cases studied were infertile cases, and patients who had failed to conceive after undergoing fertility treatment were considered for surgery.