SEQUELA OF CESAREAN SECTION DELIVERY; ISTMOCELE
Journal Title: Kocatepe Medical Journal - Year 2022, Vol 23, Issue 1
Abstract
This study aims to reveal the current literature about the methods in the diagnosis and treatment of isthmocele. A total of 72 case reports and clinical studies using the key words “isthmocele”, “niche” and “uterine scar defect” which were published in English language between the years 2008 and 2020, were searched from the Pubmed database. Amongst these publications, 32 clinical studies and case reports that were only related to the diagnosis and treatment of isthmocele and whose full texts are available, were included in the study. Forty publications were excluded from the study due to not being a related to isthmocele, unavailability of full text, and publication in other languages. Symptoms, complication, treatment methods and their success were evaluated. A total of 1021 cases described in 32 clinical trials and case reports were evaluated of the cases. Hysteroscopy was perfomed in 385 cases, laparoscopy was performed in 151 cases, hysteroscopy combined with laparoscopy was performed in 36 cases, vaginal repair was performed in 287 cases, vaginal repair combined with laparoscopy was performed in 37 cases, and laparotomy was performed in five cases. Medical treatment was applied in 120 cases. All patients who had surgery were symptomatic and complications were reported only in 4 patients who underwent surgery. Isthmocele can be easily diagnosed with ultrasonography and sonohysterography, which are frequently used in daily practice. Isthmocele should be kept in mind especially in patients with retroflexed uterus and old cesarean history who have abnormal uterine bleeding, secondary infertility, and pelvic pain. Surgical treatment yields successful results especially in symptomatic patients as it.
Authors and Affiliations
Gülşah SELVİ DEMİRTAŞ
Keywords
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- EP ID EP699157
- DOI https://doi.org/10.18229/kocatepetip.744836
- Views 112
- Downloads 0
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