Outcomes of Laparoscopic Cesarean Scar Defect Repair: Retrospective and Observational Study.
cesarean scar defect
isthmocele
niche
pregnancy
uterine diverticulum
uteroperitoneal fistula
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
28 May 2023
28 May 2023
Historique:
received:
10
03
2023
revised:
20
05
2023
accepted:
23
05
2023
medline:
10
6
2023
pubmed:
10
6
2023
entrez:
10
6
2023
Statut:
epublish
Résumé
Cesarean scar defect, also known as niche, isthmocele, uteroperitoneal fistula and uterine diverticulum, is a known complication after cesarean delivery. Due to the rising cesarean delivery rates, niche has become more common and can present as irregular bleeding, pelvic pain, infertility, cesarean scar pregnancy and uterine rupture. Treatments for symptomatic cesarean scar defect vary and include hormonal therapy, hysteroscopic resection, vaginal or laparoscopic repair, and hysterectomy. We report on the safety and efficacy of our method of repairing cesarean scar defects in 27 patients without adverse outcomes: two-layer repair where the suture does not enter the uterine cavity. Our method of laparoscopic niche repair improves symptoms in nearly 77% of patients, restores fertility in 73% of patients, and decreases the time to conception.
Identifiants
pubmed: 37297915
pii: jcm12113720
doi: 10.3390/jcm12113720
pmc: PMC10254061
pii:
doi:
Types de publication
Journal Article
Langues
eng
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