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This investigation evaluated the surgical interventions available for uterine rupture, emphasizing laparoscopic repair subsequent to uterine rupture. Laparoscopic repair serves as a fertility\u2010sustaining alternative to conventional laparotomy, demonstrating comparable operative durations of 80\u2009min (interquartile range [IQR] 60\u2013114) for laparoscopic procedures versus 78\u2009min (IQR 58\u2013114) for laparotomy interventions. Nevertheless, laparoscopic approaches confer significant advantages, including a reduced incidence of intensive care unit (ICU) admissions (14.2% vs. 40% for laparotomy), a diminished requirement for blood transfusions (14.2% vs. 60%), and abbreviated hospital stays (median of 3\u2009days vs. 5\u2009days for laparotomy). The investigation explored the contentious discourse surrounding single\u2010layer versus double\u2010layer suturing methodologies, noting that barbed sutures significantly decrease uterine closure times (224\u2009\u00b1\u200946 vs. 343\u2009\u00b1\u200975\u2009s for traditional sutures). Single\u2010layer suturing is advocated as sufficient for maintaining uterine integrity in suitably selected cases. The necessity of meticulous postoperative monitoring, particularly concerning the assessment of recurrence in subsequent pregnancies, is emphasized, with recurrence rates varying from 4.8% to 19.4%. Finally, authors also proposed a feasible laparoscopic technique to repair a uterine rupture (the \u201cCHEESE\u201d method [closure of hemodynamically stable, early uterine rupture, via endoscopic surgery after spontaneous delivery]), appropriate for hemodynamically stable patients with minor ruptures. This review underscores the progressive role of minimally invasive techniques in the management of uterine rupture and seeks to optimize clinical outcomes for both maternal and neonatal health.<\/jats:p>","DOI":"10.1002\/ijgo.70066","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T06:32:59Z","timestamp":1741761179000},"page":"551-560","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Laparoscopic repair of uterine rupture after delivery: A comprehensive evaluation of the uterine rupture management, with a proposal surgical method"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5928-3565","authenticated-orcid":false,"given":"Giovanni","family":"Pecorella","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, and CERICSAL (CEntro di RIcerca Clinico SALentino) \u201cVeris delli Ponti\u201d Hospital  Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Licchelli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, and CERICSAL (CEntro di RIcerca Clinico SALentino) \u201cVeris delli Ponti\u201d Hospital  Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetano","family":"Panese","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, and CERICSAL (CEntro di RIcerca Clinico SALentino) \u201cVeris delli Ponti\u201d Hospital  Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Morciano","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Panico Pelvic Floor Center Pia Fondazione \u201cCard. 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