{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T03:28:50Z","timestamp":1771039730825,"version":"3.50.1"},"reference-count":6,"publisher":"Galenos Yayinevi","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Background: An isthmocele is a myometrial defect in the site of the caesarean scar. In symptomatic women with abnormal uterine bleeding and secondary infertility, surgical correction can be considered. Most authors advocate that when there\u2019s a residual myometrium \u2265 3mm it can be corrected through resectoscopic approach and when &lt; 3mm the treatment should be laparoscopic, eventually guided by diagnostic hysteroscopy. Both these techniques have important limitations; therefore, the authors propose combining both techniques, in the same procedure, in order to overcome them.\n\nObjectives: To demonstrate the advantages of a surgical technique for correction of an isthmocele using both resectoscopic and laparoscopic resection.\n\nMaterial and Methods: A stepwise demonstration of the technique with narrated video footage.\n\nMain outcome measures: Intraoperative data and outcomes in the patient\u2019s follow-up.\n\nResults: One month after the surgery the patient was asymptomatic, reporting a resolution of the uterine abnormal bleeding, and the ultrasound showed a full correction of the isthmocele.\n\nConclusion: A combination of resectoscopic and laparoscopic resection, in correcting bigger isthmoceles, is a good option to fully excise all the \ufb01brotic tissue.\n\nLearning Objective: This video aims to demonstrate the bene\ufb01ts of using a technique combining resectoscopic and laparoscopic resection for correcting larger isthmoceles.<\/jats:p>","DOI":"10.52054\/fvvo.15.3.086","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T11:54:21Z","timestamp":1695729261000},"page":"283-285","source":"Crossref","is-referenced-by-count":4,"title":["Isthmocele correction: resectoscopic, laparoscopic or both?"],"prefix":"10.52054","volume":"15","author":[{"given":"C","family":"Smet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Nogueira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Vilarinho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Reis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2023,9]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Jordans IPM, de Leeuw RA, Stegwee SI et al. Sonographic examinaGon of uterine niche in non- pregnant women: a modi\ufb01ed Delphi procedure. Ultrasound Obstet Gynecol. 2019;53:107-15.","DOI":"10.1002\/uog.19049"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Naji O, Abdallah Y, Bij De Vaate AJ et al. Standardized approach for imaging and measuring Cesarean section scars using ultrasonography. Ultrasound Obstet Gynecol. 2012;39:252\u20139.","DOI":"10.1002\/uog.10077"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Gubbini G, Casadio P, Marra E. Resectoscopic correction of the \u201cisthmocele\u201d in women with postmenstrual abnormal uterine bleeding and secondary infertility. J Minim Invasive Gynecol. 2008;15:172-5.","DOI":"10.1016\/j.jmig.2007.10.004"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Set\u00fabal A, Alves J, Os\u00f3rio F et al. Demonstration of Isthmocele Surgical Repair. J Minim Invasive Gynecol. 2021;28:389-90.","DOI":"10.1016\/j.jmig.2020.09.007"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Zhang X, Yang M, Wang Q et al. Prospective evaluation of \ufb01ve methods used to treat cesarean scar defects. Int J Gynaecol Obstet. 2016;134:336-9.","DOI":"10.1016\/j.ijgo.2016.04.011"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Mashiach R, Burke YZ. Optimal Isthmocele Management: Hysteroscopic, Laparoscopic, or Combination. J Minim Invasive Gynecol. 2021;28:565\u201374.","DOI":"10.1016\/j.jmig.2020.10.026"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:55:56Z","timestamp":1739512556000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.15.3.086\">10.52054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,9,24]]},"published-print":{"date-parts":[[2023,9]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.15.3.086","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}