SEQUELA OF CESAREAN SECTION DELIVERY; ISTMOCELE
Journal Title: Kocatepe Medical Journal - Year 2022, Vol 23, Issue 1
Abstract
This study aims to reveal the current literature about the methods in the diagnosis and treatment of isthmocele. A total of 72 case reports and clinical studies using the key words “isthmocele”, “niche” and “uterine scar defect” which were published in English language between the years 2008 and 2020, were searched from the Pubmed database. Amongst these publications, 32 clinical studies and case reports that were only related to the diagnosis and treatment of isthmocele and whose full texts are available, were included in the study. Forty publications were excluded from the study due to not being a related to isthmocele, unavailability of full text, and publication in other languages. Symptoms, complication, treatment methods and their success were evaluated. A total of 1021 cases described in 32 clinical trials and case reports were evaluated of the cases. Hysteroscopy was perfomed in 385 cases, laparoscopy was performed in 151 cases, hysteroscopy combined with laparoscopy was performed in 36 cases, vaginal repair was performed in 287 cases, vaginal repair combined with laparoscopy was performed in 37 cases, and laparotomy was performed in five cases. Medical treatment was applied in 120 cases. All patients who had surgery were symptomatic and complications were reported only in 4 patients who underwent surgery. Isthmocele can be easily diagnosed with ultrasonography and sonohysterography, which are frequently used in daily practice. Isthmocele should be kept in mind especially in patients with retroflexed uterus and old cesarean history who have abnormal uterine bleeding, secondary infertility, and pelvic pain. Surgical treatment yields successful results especially in symptomatic patients as it.
Authors and Affiliations
Gülşah SELVİ DEMİRTAŞ
Keywords
Related Articles
- EP ID EP699157
- DOI https://doi.org/10.18229/kocatepetip.744836
- Views 126
- Downloads 0
ANESTHETIC APPROACH IN CHILDHOOD FOREIGN BODY ASPIRATIONS IN OUR HOSPITAL
OBJECTIVE: Although foreign body aspirations can be seen at any age, they are an important cause of mortality and morbidity in pediatric patients. Anesthesia preference can range from mild sedation to general anesthesia....
INVESTIGATION OF THE RELATIONSHIP BETWEEN NUTRITIONAL SELF-EFFICACY, ATTITUDE AND BEHAVIOURS OF STUDENTS WITH OVERWEIGHT AND OBESITY
OBJECTIVE: The aim of this study was to investigate the relationship between nutritional self-efficacy, nutritional attitudeand behaviour of students with overweight and obesity. MATERIAL AND METHODS: This study was car...
INCREASED RETICULAR FIBER GRADE IN PRIMARY IMMUNE THROMBOCYTOPENIA
OBJECTIVE: Bone marrow fibrosis in primary immune thrombocytopenia (ITP) has become a centre of attention since cases with fibrosis were reported during trombopoeitin receptor agonist therapies but, there have been few s...
A RARE DIAGNOSIS IN CHILDREN: JUVENILE FIBROMYALGIA
Juvenile fibromyalgia (JFM) is a chronic pain condition in children. This extremely rare disease was first described in 1985. Although it is seen at young ages, its incidence is increasing in adolescents. Girls are more...
SENSITIVITY STATUS OF MYCOBACTERUM TUBERCULOSIS COMPLEX STRAINS ISOLATED IN OUR CLINIC TO ANTITUBERCULOSIS DRUGS
OBJECTIVE: Tuberculosis (TB) is a chronic infectious disease caused by microorganisms belonging to the Mycobacterium tuberculosis complex (MTBK) group. This disease is treated and controlled with antituberculosis drugs;...