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“ISTHMOCELE”: Current Perspectives | Chapter 20 | New Frontiers in Medicine and Medical Research Vol. 13

Isthmocele, also known as "Uterine Diverticulum" or "Uterine Niche," has become more common in recent decades, and its prevalence is increasing in tandem with the rise in Caesarean section rates. Due to its presence, gynaecological and obstetrical morbidities have been observed, and it is frequently missed when pregnancy occurs, resulting in a "maternal near miss" or maternal fatality.

Abnormal uterine bleeding, subsequent infertility, new onset dysmenorrhea, and chronic pelvic pain are the most common gynaecological morbidities. A high index of suspicion is required for diagnosis, and it can only be diagnosed by imaging techniques such as USG and MRI, with well-defined criteria in current literature. Repair follows isthmocele excision laparoscopically, hysteroscopically, or by a combination of routes, and in rare circumstances, hysterectomy is required to preserve the mother's life when a caesarean scar ectopic in shock is discovered unexpectedly. This is an iatrogenic condition caused by caesarean section, and it can be avoided if proper precautions are followed during caesarean section in terms of incision and suturing procedures, as well as risk factor adjustment.


Author (S) Details

Papa Dasari
Department of Obstetrics and Gynaecology, WCH, JIPMER, Puducherry, India.


View Book :- https://stm.bookpi.org/NFMMR-V13/article/view/3558


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