Outcomes of Laparoscopic Cesarean Scar Defect Repair: Retrospective and Observational Study

被引：16

作者：

Nezhat, Camran ^{[1
,2
,3
]}

Zaghi, Benjamin ^{[1
]}

Baek, Kelly ^{[4
]}

Nezhat, Azadeh ^{[1
,2
,3
]}

Nezhat, Farr ^{[5
,6
,7
]}

Lindheim, Steven ^{[8
,9
]}

Nezhat, Ceana ^{[10
]}

机构：

[1] Camran Nezhat Inst, Palo Alto, CA 94061 USA

[2] Stanford Univ, Med Ctr, Stanford, CA 94305 USA

[3] Univ Calif San Francisco, San Francisco, CA 94143 USA

[4] Calif Fertil Partners, Los Angeles, CA 90025 USA

[5] Nezhat Surg Gynecol Oncol, New York, NY 10128 USA

[6] NYU Hosp, NYU Long Isl Sch Med, Dept Obstet & Gynecol, Mineola, NY 10016 USA

[7] Cornell Univ, Dept Obstet & Gynecol, Weill Cornell Med Coll, New York, NY 10065 USA

[8] Univ Cent Florida, Dept Obstet & Gynecol, Orlando, FL 32827 USA

[9] Wright State Univ, Boonshoft Sch Med, Dayton, OH 45324 USA

[10] Atlanta Ctr Minimally Invas Surg & Reprod Med, Nezhat Med Ctr, Atlanta, GA 30342 USA

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 11期

关键词：

niche; isthmocele; cesarean scar defect; uteroperitoneal fistula; uterine diverticulum; pregnancy; HYSTEROSCOPIC TREATMENT; INDUCED ISTHMOCELE; RISK-FACTORS; SECTION; NICHE; PREVALENCE; SYMPTOMS; INCISION; CLOSURE; WOMEN;

D O I：

10.3390/jcm12113720

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cesarean scar defect, also known as niche, isthmocele, uteroperitoneal fistula and uterine diverticulum, is a known complication after cesarean delivery. Due to the rising cesarean delivery rates, niche has become more common and can present as irregular bleeding, pelvic pain, infertility, cesarean scar pregnancy and uterine rupture. Treatments for symptomatic cesarean scar defect vary and include hormonal therapy, hysteroscopic resection, vaginal or laparoscopic repair, and hysterectomy. We report on the safety and efficacy of our method of repairing cesarean scar defects in 27 patients without adverse outcomes: two-layer repair where the suture does not enter the uterine cavity. Our method of laparoscopic niche repair improves symptoms in nearly 77% of patients, restores fertility in 73% of patients, and decreases the time to conception.

引用

页数：10

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