The role of transillumination in a laparoscopic resection of a cesarean scar niche

A 42 year old G4P2022 with two prior cesarean sections presents with secondary infertility and intermenstrual spotting. Transvaginal ultrasound shows 1.8  × 1.0 × 1.9 cm fluid filled cesarean scar defect (Figure 1). The patient elected for surgical management and underwent laparoscopic resection and primary closure of her cesarean scar niche. Hysteroscopy was performed under laparoscopic visualization to identify the location of the niche. The bladder was dissected off the lower uterine segment to the level below the defect.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecological Surgery Source Type: research