{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T14:34:18Z","timestamp":1793889258338,"version":"4.8.0"},"reference-count":0,"publisher":"Vilnius University Press","issue":"4","license":[{"start":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:00:00Z","timestamp":1484092800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Background. The\u00a0aim of this paper is to present a\u00a0clinical case of laparoscopic repair of a\u00a0uterine scar defect, to assess the\u00a0effectiveness of treatment reviewing the\u00a0latest literature sources, and to provide recommendations of uterine scar defect management.\n Materials and methods. We report the\u00a0 case of a\u00a0 33-year-old woman with an insufficient uterine scar and one-year history of secondary infertility. Following this, she underwent corrective laparoscopic repair, successfully got pregnant two months later and carried pregnancy to full term. We discuss the\u00a0prevalence of caesarean scar defects, their clinical symptoms, diagnostic methods, various treatment techniques, and their outcomes.\n Results and conclusion. Caesarean scar defects, insufficient uterine scars, isthmocele or scar dehiscence following a\u00a0caesarean section involve myometrial discontinuity at the\u00a0site of a\u00a0scar previous caesarean section. These anatomical defects associated with prolonged menstrual bleeding, chronic pelvic pain, dysmenorrhea, dyspareunia and secondary infertility. Laparoscopic repair of the\u00a0uterine scar defect is an effective method of treatment of secondary infertility. Patients with a\u00a0previous history of caesarean section who present complaints of secondary infertility, need a\u00a0detailed evaluation of the\u00a0uterine scar before planning future pregnancies.<\/jats:p>","DOI":"10.6001\/actamedica.v23i4.3424","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T14:05:11Z","timestamp":1484143511000},"page":"227-321","source":"Crossref","is-referenced-by-count":8,"title":["Laparoscopic repair of the\u00a0uterine scar defect\u00a0\u2013 successful treatment of secondary infertility: a\u00a0case report and literature review"],"prefix":"10.15388","volume":"23","author":[{"given":"Greta","family":"Bakavi\u010di\u016bt\u0117","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabina","family":"\u0160piliauskait\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audron\u0117","family":"Me\u0161kauskien\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Rama\u0161auskait\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6097","published-online":{"date-parts":[[2017,1,11]]},"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/21432\/20537","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/21432\/20537","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T06:17:58Z","timestamp":1610000278000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/view\/21432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,11]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,1,11]]}},"URL":"https:\/\/doi.org\/10.6001\/actamedica.v23i4.3424","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"value":"2029-4174","type":"electronic"},{"value":"1392-0138","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1,11]]}}}