{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:22:23Z","timestamp":1789690943032,"version":"4.0.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:00:00Z","timestamp":1657065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze outcomes and postoperative complications in patients undergoing robot\u2010assisted isthmocele repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This retrospective cohort study included 33 patients who had robot\u2010assisted laparoscopic surgical management of an isthmocele between September 2013 and August 2020 in two French university hospitals. All charts were reviewed to identify patient characteristics, preoperative and postoperative anatomical findings, complications, and postoperative fertility and symptoms. Patients who had undergone this procedure were asked to complete a telephone questionnaire about their treatment satisfaction and symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The isthmocele was discovered most often as a result of subfertility (57.6%), but also ectopic pregnancy (18.2%), pelvic pain (15.2%), and postmenstrual bleeding (9.1%). Robot\u2010assisted repair of the isthmocele significantly improved myometrial thickness (from 1.55\u2009mm before surgery to 4.26\u2009mm after surgery [mean difference 2.71; 95% confidence interval, 1.91\u20133.51],\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.0005). Among 20 patients who still desired a child after surgery, 15 became pregnant and 14 had full\u2010term live births. Among the nine patients who had surgery for disabling symptoms, five had no persistent symptoms, three reported global improvement, and one had the same gynecologic discomfort. Seventeen patients agreed to complete the questionnaires (51.5%), and all stated that they would choose to have this surgery again.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robot\u2010assisted repair of an isthmocele is a viable minimally invasive procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.14319","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T14:01:08Z","timestamp":1656079268000},"page":"244-248","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Robot\u2010assisted laparoscopy repair of uterine isthmocele: A\u00a0two\u2010center observational study"],"prefix":"10.1002","volume":"160","author":[{"given":"Claire","family":"Cardaillac","sequence":"first","affiliation":[{"name":"Department of Obstetrics and 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