Laparoscopic isthmocele treatment – single center experience

Michał Ciebiera; Magdalena Ciebiera; Magdalena Czekańska-Rawska; Grzegorz Jakiel

doi:10.5114/wiitm.2017.66025

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

1/2017
vol. 12

Send email

Copy url:

abstract:

RETRACTED

Original paper

Laparoscopic isthmocele treatment – single center experience

Michał Ciebiera

,

Magdalena Ciebiera

,

Magdalena Czekańska-Rawska

,

Grzegorz Jakiel

Videosurgery Miniinv 2017; 12 (1): 88–95

DOI: https://doi.org/10.5114/wiitm.2017.66025

Online publish date: 2017/03/03

View full text Get citation

PlumX metrics:

Introduction: A cesarean section is the most frequently performed surgery in modern obstetrics. In case of an incorrect wound healing process there is a risk of a persistent uterine wall defect. Nowadays, due to the high frequency of cesarean sections, obstetricians have to deal with the threat of uterine rupture due to pathological wound healing. It has been proven that isthmocele can cause abnormal uterine bleeding (AUB), pelvic pain (PP), and secondary infertility (SI), and can be a place of improper pregnancy placement.

Aim: This article presents our experience with isthmocele treatment. We describe our diagnostic process scheme, method of corrective surgery and main therapeutic outcomes.

Material and methods: In this manuscript we present a single center’s experience in isthmocele therapy. We have operated on 16 patients who suffered from abnormal uterine bleeding, pain disorders or secondary infertility possibly due to a cesarean scar defect.

Results: The results obtained in our center are promising. In 9 of 11 (81.8%) women with abnormal bleeding we obtained complete resolution of symptoms. We had slightly worse results in the case of pelvic pain. In 4 (66.6%) of 6 patients the pain resolved completely. We have obtained 7 pregnancies in 11 (63.6%) patients operated on due to secondary infertility.

Conclusions: In our opinion, laparoscopic treatment seems to be currently one of the most effective methods in isthmocele therapy. Further investigation is necessary to determine the indications for surgery, suitable treatment strategies and appropriate care.

keywords:

Laparoscopic isthmocele treatment – single center experience

Michał Ciebiera , Magdalena Ciebiera , Magdalena Czekańska-Rawska , Grzegorz Jakiel

isthmocele, cesarean scar defect, cesarean section, laparoscopy

Michał Ciebiera

,

Magdalena Ciebiera

,

Magdalena Czekańska-Rawska

,

Grzegorz Jakiel