Isthmocele: From Risk Factors to Management
Abstract Objective The aim of the present study was to perform a comprehensive review of the literature to provide a complete and clear picture of isthmocele-a hypoechoic area within themyometriumat the site of the uterine scar of a previous cesarean section-by exploring in depth every aspect of t...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2019-04-01
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Series: | Revista Brasileira de Ginecologia e Obstetrícia |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032019000100044&tlng=en |
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author | Piergiorgio Iannone Giulia Nencini Gloria Bonaccorsi Ruby Martinello Giovanni Pontrelli Marco Scioscia Luigi Nappi Pantaleo Greco Gennaro Scutiero |
author_facet | Piergiorgio Iannone Giulia Nencini Gloria Bonaccorsi Ruby Martinello Giovanni Pontrelli Marco Scioscia Luigi Nappi Pantaleo Greco Gennaro Scutiero |
author_sort | Piergiorgio Iannone |
collection | DOAJ |
description | Abstract Objective The aim of the present study was to perform a comprehensive review of the literature to provide a complete and clear picture of isthmocele-a hypoechoic area within themyometriumat the site of the uterine scar of a previous cesarean section-by exploring in depth every aspect of this condition. Methods A comprehensive review of the literature was performed to identify the most relevant studies about this topic. Results Every aspect of isthmocele has been studied and described: pathophysiology, clinical symptoms, classification, and diagnosis. Its treatment, both medical and surgical, has also been reported according to the actual literature data. Conclusion Cesarean section is the most common surgical procedure performed worldwide, and one of the consequences of this technique is isthmocele. A single and systematic classification of isthmocele is needed to improve its diagnosis and management. Further studies should be performed to better understand its pathogenesis. |
first_indexed | 2024-12-20T19:25:12Z |
format | Article |
id | doaj.art-7b52974baf614d5fa590a942d8e31207 |
institution | Directory Open Access Journal |
issn | 0100-7203 |
language | English |
last_indexed | 2024-12-20T19:25:12Z |
publishDate | 2019-04-01 |
publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
record_format | Article |
series | Revista Brasileira de Ginecologia e Obstetrícia |
spelling | doaj.art-7b52974baf614d5fa590a942d8e312072022-12-21T19:28:54ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032019-04-01411445210.1055/s-0038-1676109Isthmocele: From Risk Factors to ManagementPiergiorgio Iannonehttps://orcid.org/0000-0001-9485-0126Giulia NenciniGloria BonaccorsiRuby MartinelloGiovanni PontrelliMarco SciosciaLuigi NappiPantaleo GrecoGennaro ScutieroAbstract Objective The aim of the present study was to perform a comprehensive review of the literature to provide a complete and clear picture of isthmocele-a hypoechoic area within themyometriumat the site of the uterine scar of a previous cesarean section-by exploring in depth every aspect of this condition. Methods A comprehensive review of the literature was performed to identify the most relevant studies about this topic. Results Every aspect of isthmocele has been studied and described: pathophysiology, clinical symptoms, classification, and diagnosis. Its treatment, both medical and surgical, has also been reported according to the actual literature data. Conclusion Cesarean section is the most common surgical procedure performed worldwide, and one of the consequences of this technique is isthmocele. A single and systematic classification of isthmocele is needed to improve its diagnosis and management. Further studies should be performed to better understand its pathogenesis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032019000100044&tlng=enisthmocelenichecesarean section scar defecthysteroscopylaparoscopy |
spellingShingle | Piergiorgio Iannone Giulia Nencini Gloria Bonaccorsi Ruby Martinello Giovanni Pontrelli Marco Scioscia Luigi Nappi Pantaleo Greco Gennaro Scutiero Isthmocele: From Risk Factors to Management Revista Brasileira de Ginecologia e Obstetrícia isthmocele niche cesarean section scar defect hysteroscopy laparoscopy |
title | Isthmocele: From Risk Factors to Management |
title_full | Isthmocele: From Risk Factors to Management |
title_fullStr | Isthmocele: From Risk Factors to Management |
title_full_unstemmed | Isthmocele: From Risk Factors to Management |
title_short | Isthmocele: From Risk Factors to Management |
title_sort | isthmocele from risk factors to management |
topic | isthmocele niche cesarean section scar defect hysteroscopy laparoscopy |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032019000100044&tlng=en |
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