Endoscopic surgical treatment of isthmocele and it’s probale link with endometriosis. A 3-years retrospective review of combined laparoscopic and hysteroscopic surgery
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
The aim is to share our experience on the efficacy of combined laparoscopic and hysteroscopic surgical treatment of isthmocele and the possible link with endometriosis 28 patients with isthmocele who underwent combined laparoscopic and hysteroscopic repair were retrospectively analysed Presenting symptoms were bleeding disorder infertility lower abdominal pain dysmenorrhea and chronic vaginal discharge All noticeable changes observed in the preoperative symptoms were evaluated at 1 3 and 6 months postoperatively while fertility return within the first 24 months postoperatively was also evaluated Average age of the patients was 36945 fertility return after surgery was 824 n1417 post menstrual bleeding disorders was almost completely resolved in all the patients in the 1 3 and 6 months after surgery mean bleeding duration was significantly shorter than the preoperative period 3611 days as against 10317days There was significant resolution of the other symptoms like dysmenorrhea chronic vaginal discharge and suprapubic pain at 6 months after surgery Endometriosis was found in 16 571 patients which is remarkably high in patients who had no previous history or diagnosis of endometriosis The overall patient satisfaction rate was 929 2628 Our experience shows that the combined used of hysteroscopy and laparoscopy is very effective in the management of isthmocele with minimal complications Our findings also suggests a possible link between endometriosis and isthmocele Further large scale studies may be required to ascertain these findingsKeywords Endometriosis Pelvic pain Dysmenorrhea Premenstrual syndrome Abnormal uterine bleeding Laparoscopy Hysteroscopy Caesarean section Isthmocele
Authors and Affiliations
Atombosoba Adokiye Ekine, Fülöp István, Rucz Árpád, Tekse István, Nyéky Boldizsár
Keywords
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- EP ID EP475986
- DOI 10.18231/2394-2754.2018.0105
- Views 90
- Downloads 0
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