{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T22:40:29Z","timestamp":1791758429976,"version":"4.3.4"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Uterine scar dehiscence, defined as partial myometrial disruption at a prior cesarean site with intact serosa, is increasingly diagnosed during repeat cesarean delivery. It may compromise future fertility and increase the risk of uterine rupture. Optimal surgical repair techniques that restore myometrial thickness and vascularization are crucial for preserving fertility. The aim of the present study was to describe a cohort of patients with intraoperative diagnosis of uterine dehiscence during cesarean delivery, managed with a myometrial glide flap technique to reinforce the uterine wall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 38 pregnant women with 1\u20134 prior cesarean deliveries who underwent cesarean section between March 2020 and March 2024. All patients desired future fertility. Dehiscence was diagnosed intra\u2010 or preoperatively via ultrasound. A myometrial flap technique was employed, involving the resection of fibrotic tissue and the mobilization of a vascularized myometrial flap to cover the defect. Postoperative healing was assessed by transvaginal ultrasound at 6\u2009weeks and pelvic magnetic resonance imaging (MRI) at 6\u2009months. Patients were prospectively followed to monitor their subsequent pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean myometrial thickness at the repair site was 2.08\u2009\u00b1\u20090.26\u2009cm (range: 1.70\u20132.46\u2009cm) at 6\u2009weeks postpartum. Of 38 patients, 31 were followed prospectively, resulting in 31 subsequent pregnancies. The mean interval to the next pregnancy was 18.7\u2009months. All subsequent deliveries occurred by cesarean at a mean gestational age of 37.1\u2009weeks, with no cases of uterine dehiscence or rupture. The repaired segment appeared normal intraoperatively in all cases. Mean surgical time (skin\u2010to\u2010skin) was 76.4\u2009min (range: 60\u201395\u2009min).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The myometrial glide flap technique effectively restores uterine wall thickness and integrity, enabling safe future pregnancies. This fertility\u2010preserving approach may reduce long\u2010term obstetric risks in women with prior cesarean scars.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70678","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T13:05:56Z","timestamp":1763643956000},"page":"839-843","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical repair of cesarean uterine dehiscence using a myometrial flap in fertility\u2010preserving patients: A retrospective cohort study"],"prefix":"10.1002","volume":"173","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1415-0970","authenticated-orcid":false,"given":"Jos\u00e9 M.","family":"Palacios\u2010Jaraquemada","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology CEMIC University Hospital  Buenos Aires Argentina"},{"name":"Universitas Airlangga  Surabaya Indonesia"},{"name":"Sanatorio Otamendi  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0435-6704","authenticated-orcid":false,"given":"Nicol\u00e1s A.","family":"Basanta","sequence":"additional","affiliation":[{"name":"Sanatorio Otamendi  Buenos Aires Argentina"},{"name":"Fern\u00e1ndez Hospital  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5639-9127","authenticated-orcid":false,"given":"Albaro J.","family":"Nieto\u2010Calvache","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0205-3198","authenticated-orcid":false,"given":"Miguel A.","family":"Huespe","sequence":"additional","affiliation":[{"name":"Santojanni Hospital  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1323-1129","authenticated-orcid":false,"given":"Jorge L.","family":"Hamer","sequence":"additional","affiliation":[{"name":"CEGYR  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0427-3079","authenticated-orcid":false,"given":"Estela B.","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"Sanatorio Otamendi  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12127"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2020\/43776.13701"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-020-05823-1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_556_19"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.12.039"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000218690.24494.ce"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/biom11081095"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2024.2365344"},{"key":"e_1_2_11_10_1","volume-title":"Birth after previous caesarean birth: Green\u2010top Guideline No. 45","author":"Royal College of Obstetricians and Gynaecologists (RCOG)","year":"2015"},{"key":"e_1_2_11_11_1","volume-title":"Management of the woman with a previous caesarean section: Guideline C\u2010Obs 15","author":"Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG)","year":"2021"},{"issue":"2","key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1097\/AOG.0b013e3181eeb251","article-title":"Practice bulletin No. 115: vaginal birth after previous cesarean delivery","volume":"116","author":"American College of Obstetricians and Gynecologists (ACOG)","year":"2010","journal-title":"Obstet Gynecol"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12432"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.33160\/yam.2023.05.004"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2012.03.008"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.045"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dms040"}],"container-title":["International Journal of Gynecology &amp; 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