{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:23:13Z","timestamp":1787757793219,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      Isthmocele can be defined as a hypoechoic field within the lower uterine segment, indicating a discontinuation of the myometrium at the uterine scar of a previous cesarean section. Postmenstrual spotting, pelvic pain, dysmenorrhea, dyspareunia, uterine rupture, cesarean scar pregnancy, and secondary infertility could be seen as the complications of existing isthmocele. Such defects are prevalent with the increasing number of cesarean deliveries. A 39-year-old woman who had three prior cesarean sections complaining irregular uterine bleeding for 2 years was examined. A uterine scar defect was observed. A hysteroscopy-guided natural orifice approach was planned to repair the defect. The patient was discharged without any complication in her postoperative 6\n                      <jats:sup>th<\/jats:sup>\n                      h. She had no pain or irregular bleeding in her 2-week postoperative visit.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit_13_21","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T01:43:19Z","timestamp":1651628599000},"page":"116-118","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Hysteroscopy-Guided Natural Orifice Repair of Isthmocele"],"prefix":"10.4103","volume":"11","author":[{"given":"Cihan","family":"Kaya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zg\u00fcr","family":"Aslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00fclayim","family":"Tetik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-9-20240830","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jmig.2007.10.004","article-title":"Resectoscopic correction of the \u201cisthmocele\u201d in women with postmenstrual abnormal uterine bleeding and secondary infertility","volume":"15","author":"Gubbini","year":"2008","journal-title":"J Minim Invasive Gynecol"},{"key":"R2-9-20240830","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.jmig.2013.03.008","article-title":"Cesarean scar defects: An underrecognized cause of abnormal uterine bleeding and other gynecologic complications","volume":"20","author":"Tower","year":"2013","journal-title":"J Minim Invasive Gynecol"},{"key":"R3-9-20240830","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.fertnstert.2016.09.033","article-title":"Gynecologic and obstetric outcomes after laparoscopic repair of a cesarean scar defect in a series of 38 women","volume":"107","author":"Donnez","year":"2017","journal-title":"Fertil Steril"},{"key":"R4-9-20240830","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1016\/j.fertnstert.2018.12.010","article-title":"Mini-invasive transvaginal repair of isthmocele: A video case report","volume":"111","author":"Candiani","year":"2019","journal-title":"Fertil Steril"},{"key":"R5-9-20240830","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.jmig.2012.03.012","article-title":"Vaginal repair of cesarean section scar diverticula","volume":"19","author":"Luo","year":"2012","journal-title":"J Minim Invasive Gynecol"},{"key":"R6-9-20240830","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.12659\/MSM.890642","article-title":"Transvaginal management of cesarean scar section diverticulum: A novel surgical treatment","volume":"20","author":"Chen","year":"2014","journal-title":"Med Sci Monit"},{"key":"R7-9-20240830","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.jmig.2016.01.007","article-title":"A comparative study of transvaginal repair and laparoscopic repair in the management of patients with previous cesarean scar defect","volume":"23","author":"Zhang","year":"2016","journal-title":"J Minim Invasive Gynecol"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/GMIT.GMIT_13_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:53:39Z","timestamp":1787756019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/GMIT.GMIT_13_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_13_21","relation":{},"ISSN":["2213-3070"],"issn-type":[{"value":"2213-3070","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}