Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche)
Objectives: Reported a case demonstrate the double approach repair of niche treatment through the hysteroscopy and laparoscopy technique. Methods: Case report. We reported a case starting from the patient admission untill 3 months postoperative condition. Case: A 33 years old woman came with abnorma...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Indonesian Society of Obstetrics and Gynecology
2020-10-01
|
| Series: | Indonesian Journal of Obstetrics and Gynecology |
| Online Access: | http://inajog.com/index.php/journal/article/view/1268 |
| _version_ | 1818941371508064256 |
|---|---|
| author | Herbert Situmorang Ribkhi A. Putri Cepi T. Pramayadi Riyan H. Kurniawan Muhammad D. Priangga Eka R. Gunardi |
| author_facet | Herbert Situmorang Ribkhi A. Putri Cepi T. Pramayadi Riyan H. Kurniawan Muhammad D. Priangga Eka R. Gunardi |
| author_sort | Herbert Situmorang |
| collection | DOAJ |
| description | Objectives: Reported a case demonstrate the double approach repair of niche treatment through the hysteroscopy and laparoscopy technique.
Methods: Case report. We reported a case starting from the patient admission untill 3 months postoperative condition.
Case: A 33 years old woman came with abnormal uterine bleeding, already got medication and combine oral contraception pill, but the bleeding never stopped. We found a cavity (niche) filled by menstrual blood with thin lower uterine segment (just serous layer) from transvaginal ultrasound. We did hysteroscopy and laparoscopy approach. We illuminated the niche by hysteroscopy, then resected it by laparoscopy. Patient had a day hospital admission and no symptoms anymore after the procedure.
Conclusion: Many treatment methods have been described for repair of niche with varies effectivities. Double approach (hysteroscopy and laparoscopy) technique was a minimal access, but optimal approach of niche resection with up to 100% effectivity.
Keywords: abnormal uterine bleeding, caesarean scar defect, hysteroscopy, istmochele laparoscopy, niche
Abstrak
Tujuan: Melaporkan sebuah kasus yang menggambarkan pendekatan ganda dalam memperbaiki niche dengan histeroskopi dan laparoskopi.
Metode: Laporan kasus. Kami melaporkan sebuah kasus dimulai dari pasien masuk sampai dengan 3 bulan pascaoperasi.
Kasus: Perempuan 33 tahun datang dengan perdarahan uterus abnormal, telah diberikan terapi obat dan pil kombinasi, namun perdarahan tidak berhenti. Dari ultrasonografi ditemukan rongga berisi darah menstrusasi dengan segmen bawah uterus yang tipis (hanya lapisan serosa). Kami melakukan pendekatan histeroskopi dan laparoskopi. Dilakukan iluminasi dengan histeroskopi, kemudian reseksi dengan laparoskopi. Perawatan pasien di rumah sakit selama satu hari, dan tidak terdapat keluhan pada pasien setelah tindakan.
Kesimpulan: Terdapat banyak metode dalam tata laksana niche dengan efektivitas yang beragam. Pendekatan ganda dengan histeroskopi dan laparoskopi merupakan tehnik dengan akses minimal namun hasil optimal, dengan efektivitas hingga 100%.
Kata Kunci: perdarahan uterus abnormal, defek skar sesar, histeroskopi, istmpchele, laparoskopi, niche |
| first_indexed | 2024-12-20T06:54:29Z |
| format | Article |
| id | doaj.art-565417d2c00d4b1b976c8554e73466ba |
| institution | Directory Open Access Journal |
| issn | 2338-6401 2338-7335 |
| language | English |
| last_indexed | 2024-12-20T06:54:29Z |
| publishDate | 2020-10-01 |
| publisher | Indonesian Society of Obstetrics and Gynecology |
| record_format | Article |
| series | Indonesian Journal of Obstetrics and Gynecology |
| spelling | doaj.art-565417d2c00d4b1b976c8554e73466ba2022-12-21T19:49:24ZengIndonesian Society of Obstetrics and GynecologyIndonesian Journal of Obstetrics and Gynecology2338-64012338-73352020-10-0125425710.32771/inajog.v8i4.12681268Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche)Herbert Situmorang0Ribkhi A. Putri1Cepi T. PramayadiRiyan H. KurniawanMuhammad D. PrianggaEka R. Gunardi2Fertility Consultant at Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta IndonesiaObstetrics and Gynecology Departement RSCM, Faculty of Medicine Indonesia UniversityFaculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo Generah Hospital JakartaObjectives: Reported a case demonstrate the double approach repair of niche treatment through the hysteroscopy and laparoscopy technique. Methods: Case report. We reported a case starting from the patient admission untill 3 months postoperative condition. Case: A 33 years old woman came with abnormal uterine bleeding, already got medication and combine oral contraception pill, but the bleeding never stopped. We found a cavity (niche) filled by menstrual blood with thin lower uterine segment (just serous layer) from transvaginal ultrasound. We did hysteroscopy and laparoscopy approach. We illuminated the niche by hysteroscopy, then resected it by laparoscopy. Patient had a day hospital admission and no symptoms anymore after the procedure. Conclusion: Many treatment methods have been described for repair of niche with varies effectivities. Double approach (hysteroscopy and laparoscopy) technique was a minimal access, but optimal approach of niche resection with up to 100% effectivity. Keywords: abnormal uterine bleeding, caesarean scar defect, hysteroscopy, istmochele laparoscopy, niche Abstrak Tujuan: Melaporkan sebuah kasus yang menggambarkan pendekatan ganda dalam memperbaiki niche dengan histeroskopi dan laparoskopi. Metode: Laporan kasus. Kami melaporkan sebuah kasus dimulai dari pasien masuk sampai dengan 3 bulan pascaoperasi. Kasus: Perempuan 33 tahun datang dengan perdarahan uterus abnormal, telah diberikan terapi obat dan pil kombinasi, namun perdarahan tidak berhenti. Dari ultrasonografi ditemukan rongga berisi darah menstrusasi dengan segmen bawah uterus yang tipis (hanya lapisan serosa). Kami melakukan pendekatan histeroskopi dan laparoskopi. Dilakukan iluminasi dengan histeroskopi, kemudian reseksi dengan laparoskopi. Perawatan pasien di rumah sakit selama satu hari, dan tidak terdapat keluhan pada pasien setelah tindakan. Kesimpulan: Terdapat banyak metode dalam tata laksana niche dengan efektivitas yang beragam. Pendekatan ganda dengan histeroskopi dan laparoskopi merupakan tehnik dengan akses minimal namun hasil optimal, dengan efektivitas hingga 100%. Kata Kunci: perdarahan uterus abnormal, defek skar sesar, histeroskopi, istmpchele, laparoskopi, nichehttp://inajog.com/index.php/journal/article/view/1268 |
| spellingShingle | Herbert Situmorang Ribkhi A. Putri Cepi T. Pramayadi Riyan H. Kurniawan Muhammad D. Priangga Eka R. Gunardi Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche) Indonesian Journal of Obstetrics and Gynecology |
| title | Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche) |
| title_full | Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche) |
| title_fullStr | Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche) |
| title_full_unstemmed | Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche) |
| title_short | Double Approach (Laparoscopy and Hysteroscopy) Repair of Istmochele (Niche) |
| title_sort | double approach laparoscopy and hysteroscopy repair of istmochele niche |
| url | http://inajog.com/index.php/journal/article/view/1268 |
| work_keys_str_mv | AT herbertsitumorang doubleapproachlaparoscopyandhysteroscopyrepairofistmocheleniche AT ribkhiaputri doubleapproachlaparoscopyandhysteroscopyrepairofistmocheleniche AT cepitpramayadi doubleapproachlaparoscopyandhysteroscopyrepairofistmocheleniche AT riyanhkurniawan doubleapproachlaparoscopyandhysteroscopyrepairofistmocheleniche AT muhammaddpriangga doubleapproachlaparoscopyandhysteroscopyrepairofistmocheleniche AT ekargunardi doubleapproachlaparoscopyandhysteroscopyrepairofistmocheleniche |