Hysteroscopy-guided natural orifice repair of isthmocele

Isthmocele can be defined as a hypoechoic field within the lower uterine segment, indicating a discontinuation of the myometrium at the uterine scar of a previous cesarean section. Postmenstrual spotting, pelvic pain, dysmenorrhea, dyspareunia, uterine rupture, cesarean scar pregnancy, and secondary...

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Main Authors: Cihan Kaya, Özgür Aslan, Mülayim Tetik
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Gynecology and Minimally Invasive Therapy
Subjects:
Online Access:http://www.e-gmit.com/article.asp?issn=2213-3070;year=2022;volume=11;issue=2;spage=116;epage=118;aulast=Kaya
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author Cihan Kaya
Özgür Aslan
Mülayim Tetik
author_facet Cihan Kaya
Özgür Aslan
Mülayim Tetik
author_sort Cihan Kaya
collection DOAJ
description Isthmocele can be defined as a hypoechoic field within the lower uterine segment, indicating a discontinuation of the myometrium at the uterine scar of a previous cesarean section. Postmenstrual spotting, pelvic pain, dysmenorrhea, dyspareunia, uterine rupture, cesarean scar pregnancy, and secondary infertility could be seen as the complications of existing isthmocele. Such defects are prevalent with the increasing number of cesarean deliveries. A 39-year-old woman who had three prior cesarean sections complaining irregular uterine bleeding for 2 years was examined. A uterine scar defect was observed. A hysteroscopy-guided natural orifice approach was planned to repair the defect. The patient was discharged without any complication in her postoperative 6th h. She had no pain or irregular bleeding in her 2-week postoperative visit.
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spelling doaj.art-99a25e17d2034f05ad6c7dd7847f983e2022-12-22T00:24:20ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702022-01-0111211611810.4103/GMIT.GMIT_13_21Hysteroscopy-guided natural orifice repair of isthmoceleCihan KayaÖzgür AslanMülayim TetikIsthmocele can be defined as a hypoechoic field within the lower uterine segment, indicating a discontinuation of the myometrium at the uterine scar of a previous cesarean section. Postmenstrual spotting, pelvic pain, dysmenorrhea, dyspareunia, uterine rupture, cesarean scar pregnancy, and secondary infertility could be seen as the complications of existing isthmocele. Such defects are prevalent with the increasing number of cesarean deliveries. A 39-year-old woman who had three prior cesarean sections complaining irregular uterine bleeding for 2 years was examined. A uterine scar defect was observed. A hysteroscopy-guided natural orifice approach was planned to repair the defect. The patient was discharged without any complication in her postoperative 6th h. She had no pain or irregular bleeding in her 2-week postoperative visit.http://www.e-gmit.com/article.asp?issn=2213-3070;year=2022;volume=11;issue=2;spage=116;epage=118;aulast=Kayahysteroscopynatural orifice transluminal endoscopic surgeryuterine scar defect
spellingShingle Cihan Kaya
Özgür Aslan
Mülayim Tetik
Hysteroscopy-guided natural orifice repair of isthmocele
Gynecology and Minimally Invasive Therapy
hysteroscopy
natural orifice transluminal endoscopic surgery
uterine scar defect
title Hysteroscopy-guided natural orifice repair of isthmocele
title_full Hysteroscopy-guided natural orifice repair of isthmocele
title_fullStr Hysteroscopy-guided natural orifice repair of isthmocele
title_full_unstemmed Hysteroscopy-guided natural orifice repair of isthmocele
title_short Hysteroscopy-guided natural orifice repair of isthmocele
title_sort hysteroscopy guided natural orifice repair of isthmocele
topic hysteroscopy
natural orifice transluminal endoscopic surgery
uterine scar defect
url http://www.e-gmit.com/article.asp?issn=2213-3070;year=2022;volume=11;issue=2;spage=116;epage=118;aulast=Kaya
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AT mulayimtetik hysteroscopyguidednaturalorificerepairofisthmocele