Laparoscopic repair of wide and deep uterine scar dehiscence after cesarean section.
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.
Donnez
Olivier
O
Department of Gynecology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium. donnez@gyne.ucl.ac.be
Jadoul
Pascale
P
Squifflet
Jean
J
Donnez
Jacques
J
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*