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...

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Main Authors: Piergiorgio Iannone, Giulia Nencini, Gloria Bonaccorsi, Ruby Martinello, Giovanni Pontrelli, Marco Scioscia, Luigi Nappi, Pantaleo Greco, Gennaro Scutiero
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2019-04-01
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.
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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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