Defining the limits of caesarean scar niche repair: new anatomical landmarks

Gynecological Surgery - Tập 18 Số 1 - 2021
Tanushree Rao1, Neera Lambert2, Bhaswati Ghosh2, Timothy Chang1
1Liverpool Hospital, Liverpool BC, Australia.
2Campbelltown Hospital, Campbelltown, Australia

Tóm tắt

Abstract Background Caesarean scar niche is increasingly being seen due to the rise in the number of caesarean sections worldwide. Indications and the ideal route for niche repair are still being researched. If the residual myometrium is less than 3 mm thick and potential fertility is needed, laparoscopy is the ideal surgical method for caesarean scar niche repair. The aim of this video presentation is to demonstrate techniques of identifying new anatomical landmarks during laparoscopic uterine niche repair. Results As seen in the video, Caesarean scar niche repair can be done in a step-by-step manner, with lateral bands serving as anatomical landmarks. Conclusions Lateral bands are a consistent anatomical landmark which identify the level and width of the uterine niche and thus simplify the laparoscopic repair making this a reproducible technique.

Từ khóa


Tài liệu tham khảo

Gurol-Urganci I, Cromwell DA, Mahmood TA, van der Meulen JH, Templeton A (2014) A population-based cohort study of the effect of Caesarean section on subsequent fertility. Hum Reprod. 29(6):1320–1326

Gurol-Urganci I, Bou-Antoun S, Lim CP, Cromwell DA, Mahmood TA, Templeton A et al (2013) Impact of caesarean section on subsequent fertility: a systematic review and meta-analysis. Hum Reprod. 28(7):1943–1952

Nezhat C, Falik R, Li A (2017) Surgical management of niche, isthmocele, uteroperitoneal fistula, or cesarean scar defect: a critical rebirth in the medical literature. Fertil Steril. 107(1):69–71

Donnez O, Donnez J, Orellana R, Dolmans MM (2017) Gynecological and obstetrical outcomes after laparoscopic repair of a cesarean scar defect in a series of 38 women. Fertil Steril 107(1):289–96.e2

Vissers J, Hehenkamp W, Lambalk CB, Huirne JA (2020) Post-caesarean section niche-related impaired fertility: hypothetical mechanisms. Hum Reprod. 35(7):1484–1494

Thông tin
Thông tin xuất bản

Gynecological Surgery

Tập 18 Số 1

Thông tin tác giả