Hysteroscopy-guided natural orifice repair of isthmocele
Gynecology and Minimally Invasive Therapy, cilt.11, sa.2, ss.116-118, 2022 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 11 Sayı: 2
- Basım Tarihi: 2022
- Doi Numarası: 10.4103/gmit.gmit_13_21
- Dergi Adı: Gynecology and Minimally Invasive Therapy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
- Sayfa Sayıları: ss.116-118
- Anahtar Kelimeler: Hysteroscopy, natural orifice transluminal endoscopic surgery, uterine scar defect
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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 6 th h. She had no pain or irregular bleeding in her 2-week postoperative visit.