Laparoscopic Ultrasound-Guided Repair of Uterine Scar Isthmocele Connected With the Extra-Amniotic Space in Early Pregnancy

J Minim Invasive Gynecol. 2016 Feb 1;23(2):261-4. doi: 10.1016/j.jmig.2015.09.010. Epub 2015 Sep 25.

Abstract

We present a video of an ultrasound-guided laparoscopic surgical management of a large uterine scar isthmocele connected with the extra-amniotic space in early pregnancy. A case of a pregnant patient who was diagnosed with a large isthmocele connected with the extra-amniotic space on routine ultrasound at 8 weeks of gestational age is presented. The uterine defect was successfully sutured laparoscopically under ultrasound guidance. The pregnancy continued uneventfully, and a healthy baby was delivered via cesarean section at 38 weeks gestational age.

Keywords: Isthmocele; Laparoscopic repair; Uterine scar dehiscence.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cesarean Section
  • Cicatrix / surgery*
  • Female
  • Humans
  • Infant, Newborn
  • Laparoscopy*
  • Pregnancy
  • Pregnancy Complications / surgery*
  • Pregnancy Outcome
  • Pregnancy Trimester, First
  • Ultrasonography, Interventional*
  • Uterine Diseases / surgery*
  • Wound Healing