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Year : 2022  |  Volume : 11  |  Issue : 2  |  Page : 116-118

Hysteroscopy-guided natural orifice repair of isthmocele

1 Department of Gynecology and Obstetric, Acıbadem Mehmet Ali Aydınlar University, Acıbadem Bakırkoy Hospital, Istanbul, Turkey
2 Department of Gynecology and Obstetric, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, University of Health Sciences, Istanbul, Turkey

Correspondence Address:
Dr. Özgür Aslan
Dr. Tevfik Saglam Street No: 11, Zuhuratbaba District, 34147 Bakirkoy, Istanbul
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/GMIT.GMIT_13_21

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Isthmocele can be defined as a hypoechoic field within the lower uterine segment, indicating a discontinuation of the myometrium at the uterine scar of a previous cesarean section. Postmenstrual spotting, pelvic pain, dysmenorrhea, dyspareunia, uterine rupture, cesarean scar pregnancy, and secondary infertility could be seen as the complications of existing isthmocele. Such defects are prevalent with the increasing number of cesarean deliveries. A 39-year-old woman who had three prior cesarean sections complaining irregular uterine bleeding for 2 years was examined. A uterine scar defect was observed. A hysteroscopy-guided natural orifice approach was planned to repair the defect. The patient was discharged without any complication in her postoperative 6th h. She had no pain or irregular bleeding in her 2-week postoperative visit.

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