title: Laparoscopic Ultrasound-Guided Repair of Uterine Scar Isthmocele Connected With the Extra-Amniotic Space in Early Pregnancy.
abstract: We present a video of an ultrasound-guided laparoscopic surgical management of a large uterine scar isthmocele connected with the extra-amniotic space in early pregnancy. A case of a pregnant patient who was diagnosed with a large isthmocele connected with the extra-amniotic space on routine ultrasound at 8 weeks of gestational age is presented. The uterine defect was successfully sutured laparoscopically under ultrasound guidance. The pregnancy continued uneventfully, and a healthy baby was delivered via cesarean section at 38 weeks gestational age.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital and University of Bern, Bern, Switzerland. Electronic address: daniele.bolla@insel.ch.
authors.forename: Daniele
authors.initials: D
authors.lastname: Bolla
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital and University of Bern, Bern, Switzerland.
authors.forename: Luigi
authors.initials: L
authors.lastname: Raio
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital and University of Bern, Bern, Switzerland.
authors.forename: Denis
authors.initials: D
authors.lastname: Favre
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital and University of Bern, Bern, Switzerland.
authors.forename: Andrea
authors.initials: A
authors.lastname: Papadia
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital and University of Bern, Bern, Switzerland.
authors.forename: Sarah
authors.initials: S
authors.lastname: In-Albon
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital and University of Bern, Bern, Switzerland.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Mueller
mesh_terms: D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D018084:Ultrasonography, Interventional; D014591:Uterine Diseases / Q000601:surgery*; D014945:Wound Healing
keywords: Isthmocele; Laparoscopic repair; Uterine scar dehiscence