Minimally invasive procedure for repair of cesarean scar defect – case report

Abstract

Introduction: Isthmocele is defined as the deficient uterine scars or dehiscence of scar after cesarean section is a pouch defect on the anterior surface of the uterus at isthmic junction situated at prior cesarean scar. Case Report: In this case series, we describe two patients who came to us with different clinical presentations and were treated with two separate surgical techniques. After one month, Transvaginal ultrasound showed complete anatomical repair of uterine defect. Conclusion: Both hysteroscopy and laparoscopy seem to be good management options for the treatment of abnormal uterine bleeding, pelvic pain and subfertility secondary to this condition. Hysteroscopy is a quick non-morbid procedure that allows concurrent removal of other uterine pathology, a fast recovery while being cost-effective. Laparoscopy is characterized by improved visualization of the defect, decreased risk of complications with defects less than 3 mm.