Uterine Dehiscence: Laparoscopic Uterine Repair in Early Pregnancy

The objective of this video is to describe the approach to complete uterine dehiscence in the first trimester, review current literature and to demonstrate surgical uterine repair in early pregnancy to facilitate a term live birth.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Open Communications 5: Laparoscopy Source Type: research

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Cesarean scar defect (CSD), especially CSD with residual myometrium less than 3  mm is reported to be the highest risk agent associated with uterine rupture for subsequent pregnancy. Currently, laparoscopic res...
Source: BMC Pregnancy and Childbirth - Category: OBGYN Authors: Tags: Research Source Type: research
To determine the efficacy of niche repair to improve fertility in patients with niche.
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Source Type: research
CONCLUSION: A robotic removal of a CSP with simultaneous repair of the defect is a feasible option with acceptable reproductive outcome and should be considered when counseling women with a wish for future childbirth in cases of a live CSP and a thin, or absent, myometrium in the niche. A temporary intraoperative occlusion of the uterine blood supply may be useful in cases of live pregnancies and/or high serum β-hCG levels.PMID:33984726 | DOI:10.1016/j.ejogrb.2021.05.004
Source: Reproductive Biology - Category: Reproduction Medicine Authors: Source Type: research
ConclusionsThis new method is feasible and has achieved promising results, even though a longer follow-up is needed to objectively assess this technique.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
To demonstrate a technique for the robotic-assisted laparoscopic surgical management of cesarean section scar ectopic pregnancy and hysterotomy repair.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Video Article Source Type: research
Authors: Cuccurullo D, Guerriero L, Mazzoni G, Sandoval M, Tartaglia E Abstract Abdominal rectus diastasis (RD) is characterized by thinning and widening of the linea alba, combined with laxity of the ventral abdominal musculature. This condition is associated with bulging of abdominal content, and it is mostly acquired during pregnancy or obesity. Symptoms include pain and discomfort in the abdomen, musculoskeletal and uro-gynecological problems in addition to negative body image and impaired quality of life. In this review we present current knowledge on the novel surgical mini-invasive techniques for treatment o...
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research
The aim of the study was to compare the efficacy of laparoscopy and hysteroscopy for the treatment of cesarean scar pregnancy (CSP) and analyze the clinical factors associated with successful selection for hysteroscopic or laparoscopic treatment of CSP. We retrospectively studied 112 cases of CSP that were treated by laparoscopy and/or hysteroscopy in our hospital from December 2014 to December 2017. In total, 72 of these patients underwent ultrasound-guided curettage and hysteroscopic resection without uterine scar defect repair. Fourty of these patients underwent laparoscopic resection and repair of the uterine scar def...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
The objective of the video is to share a laparoscopic approach to resection of ectopic (interstitial) pregnancy in patient with history of exploratory laparotomy, tubal ligation and reversal as well as ventral hernia repair.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Source Type: research
To illustrate the use of robotic surgery in repairing a recurrent trans-mural isthmocele using Acell extracellular matrix as reinforcement following treatment of a cesarean scar ectopic pregnancy.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Open Communications 22: Reproductive Medicine (4:00 PM — 5:00 PM)4:00 PM Source Type: research
Present an interesting case of an advanced cesarean scar ectopic pregnancy that failed medical management and underwent treatment with a total laparoscopic hysterectomy.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Open Communications 16: Laparoscopy (3:00 PM — 4:00 PM) 3:36 PM Source Type: research
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