title: Laparoscopic repair of wide and deep uterine scar dehiscence after cesarean section.
abstract: OBJECTIVE
  To propose a new laparoscopic technique for repair of scar dehiscence after cesarean section.
  
  
  METHODS
  The dehiscent scars were evaluated by ultrasound, hysterography, hysteroscopy, and magnetic resonance imaging. The results were correlated with those after laparoscopic repair.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Three patients underwent cesarean section and presented with symptomatic dehiscence at the level of the incision.
  
  
  METHODS
  Laparoscopic repair of the dehiscence, including excision of the fibrotic tissue and laparoscopic closure of the anterior uterine wall.
  
  
  METHODS
  Evaluation by ultrasound and magnetic resonance imaging of the sagittal depth of the scar and the thickness of the residual myometrium covering the dehiscence.
  
  
  RESULTS
  The defect was completely corrected by laparoscopic repair in all cases.
  
  
  CONCLUSIONS
  Evaluation of uterine scar dehiscence after cesarean section can be performed by ultrasound and magnetic resonance imaging, and laparoscopic surgical repair may be performed with good postoperative anatomic outcomes.
authors.affiliation: Department of Gynecology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium. donnez@gyne.ucl.ac.be
authors.forename: Olivier
authors.initials: O
authors.lastname: Donnez
authors.forename: Pascale
authors.initials: P
authors.lastname: Jadoul
authors.forename: Jean
authors.initials: J
authors.lastname: Squifflet
authors.forename: Jacques
authors.initials: J
authors.lastname: Donnez
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005260:Female; D005355:Fibrosis; D006801:Humans; D015907:Hysteroscopy; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D011859:Radiography; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography; D014599:Uterus / Q000473:pathology / Q000601:surgery*