Post-Caesarean Huge Isthmocele with Multiple Endometriomas and Cervical Stenosis: Laparoscopic Excision and Repair

ConclusionLaparoscopic approach is the preferred surgical technique in huge isthmoceles. Endometrioma develop within the wall of the pseudosac during natural course of the disease in longstanding ishthmoceles. Meticulous closure of uterine incision during cesarean section making sure that edges are taken properly into the stiches along with proper antibiotic coverage in cases with premature rupture of membranes (PROM) can prevent occurrence of isthmocele. Early diagnosis and surgical repair can prevent the progressive disease and Cesarean scar defect Syndrome.
Source: The Journal of Obstetrics and Gynecology of India - Category: OBGYN Source Type: research