”Combined hysteroscopy and laparoscopy for repairing post-cesarean diverticulum with satisfactory results? A combined hysteroscopic and laparoscopic surgical approach for the treatment of post-cesarean diverticula was recognized by participants at the “Summit on Minimally Invasive Gynecological Techniques and Reconstruction of Organ Preservation and Pelvic Floor Function” held today. Uterine diverticulum after cesarean section is a rare complication after cesarean section. In recent years, with the increase of cesarean delivery rate and the increase of clinicians and ultrasound doctors’ knowledge about this disease, the number of cases diagnosed as post-cesarean diverticulum has gradually increased. From clinical observations, most of the women suffering from this disorder come to the clinic for dribbling after the return of menstrual flow from cesarean section and for infertility; these patients have periods ranging from 8 to 25 days and some of them have chronic lower abdominal pain or menstrual abdominal pain. Since this disease is not fully appreciated by clinicians, it is often misdiagnosed as “functional uterine bleeding”. The usual treatment for post-cesarean diverticula is pharmacological or hysteroscopic electrodesiccation, but both have limitations and are not very effective. International reports on laparoscopic treatment of post-cesarean diverticula are also rare. Professor Hua Keqin and Dr. Ding Jingxin performed a combined hysterolaparoscopic procedure to repair post-cesarean diverticulum, which is a simultaneous examination and treatment using both hysteroscopic and laparoscopic techniques. At the scene of the surgery, the reporter saw that there was a 2×1.5×1 cm depression in the lower uterine anterior wall incision under the hysteroscope, forming a fornix-shaped arch defect with local vascular proliferation and accumulation of old dark red blood in the defect, as if there was an additional independent “small room” in the uterine cavity. At this moment, the red light from the weakness of the diverticulum in the isthmus was also seen laparoscopically …… According to the preoperative plan, a probe was placed in the uterine cavity and ejected, and the length and width of this “small room” were measured before the lesion was fully exposed and removed laparoscopically The “small room” that caused the trouble was removed laparoscopically. The entire operation was completed within 2 hours. Combined hysterolaparoscopic surgery for post-cesarean incisional diverticula has significant advantages over conventional treatment. The patient can undergo both hysteroscopic and laparoscopic procedures in a single anesthetic, and the pelvic and uterine cavity can be fully examined. At the same time, laparoscopy can locate the area of the lesion under direct vision, while under hysteroscopic guidance the site and size of the diverticulum can be accurately identified. After laparoscopic excision and suturing of the diverticulum, the results of the operation can be clarified by hysteroscopic examination again. The combination of hysteroscopy and laparoscopy achieves a complementary effect by precisely removing the incisional diverticulum, which is the “culprit” causing women’s dysmenorrhea after cesarean section, and minimizing the possible complications.