TY - JOUR
T1 - Outcomes of Laparoscopic Cesarean Scar Defect Repair
T2 - Retrospective and Observational Study
AU - Nezhat, Camran
AU - Zaghi, Benjamin
AU - Baek, Kelly
AU - Nezhat, Azadeh
AU - Nezhat, Farr
AU - Lindheim, Steven
AU - Nezhat, Ceana
N1 - Publisher Copyright:
© 2023 by the authors.
PY - 2023/6
Y1 - 2023/6
N2 - Cesarean scar defect, also known as niche, isthmocele, uteroperitoneal fistula and uterine diverticulum, is a known complication after cesarean delivery. Due to the rising cesarean delivery rates, niche has become more common and can present as irregular bleeding, pelvic pain, infertility, cesarean scar pregnancy and uterine rupture. Treatments for symptomatic cesarean scar defect vary and include hormonal therapy, hysteroscopic resection, vaginal or laparoscopic repair, and hysterectomy. We report on the safety and efficacy of our method of repairing cesarean scar defects in 27 patients without adverse outcomes: two-layer repair where the suture does not enter the uterine cavity. Our method of laparoscopic niche repair improves symptoms in nearly 77% of patients, restores fertility in 73% of patients, and decreases the time to conception.
AB - Cesarean scar defect, also known as niche, isthmocele, uteroperitoneal fistula and uterine diverticulum, is a known complication after cesarean delivery. Due to the rising cesarean delivery rates, niche has become more common and can present as irregular bleeding, pelvic pain, infertility, cesarean scar pregnancy and uterine rupture. Treatments for symptomatic cesarean scar defect vary and include hormonal therapy, hysteroscopic resection, vaginal or laparoscopic repair, and hysterectomy. We report on the safety and efficacy of our method of repairing cesarean scar defects in 27 patients without adverse outcomes: two-layer repair where the suture does not enter the uterine cavity. Our method of laparoscopic niche repair improves symptoms in nearly 77% of patients, restores fertility in 73% of patients, and decreases the time to conception.
KW - cesarean scar defect
KW - isthmocele
KW - niche
KW - pregnancy
KW - uterine diverticulum
KW - uteroperitoneal fistula
UR - http://www.scopus.com/inward/record.url?scp=85161302386&partnerID=8YFLogxK
U2 - 10.3390/jcm12113720
DO - 10.3390/jcm12113720
M3 - Article
AN - SCOPUS:85161302386
SN - 2077-0383
VL - 12
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 11
M1 - 3720
ER -