Abstract To investigate the effectiveness and safty of transvaginal repair surgical for treating patients with cesarean section scar diverticulum. Methods: 26 patients with cesarean section scar diverticulum who underwent transvaginal repair from January 1, 2014 to June 1, 2016 were included, and were followed up for 6 months. The clinical data of all patients were collected. Results: The mean operation time of all included women was (60.0±20.3) minutes, the mean volume of blood loss was (50.0±25.1)ml, and time of postoperative hospital stay was (6.0±3.4)d. One case had bladder injury during operation, and 92.3% (24/26) patients had reported the improvement of prolonged period of menstruation or mid-cycle spotting. After operation, the mean duration of menstruation of all patients was significantly shortened (P=0.000), and the average diameter and maximum diameter of diverticula of patients was significantly shortened (P=0.000). The diverticula of 65.4 %( 17/26) patients had complete disappeared at 6 months after operation. Conclusion: Transvaginal repair surgical for treating patients with cesarean section scar diverticulum has better effectiveness, but patients should be carefully evaluated before operation to avoid secondary injury and perioperative complications.
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