Laparoscopic correction of the uterine muscle loss in the scar after a Caesarean section delivery

Michał Ciebiera; Grzegorz Jakiel; Aneta Słabuszewska-Jóźwiak

doi:10.5114/wiitm.2013.39514

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abstract:

Case report

Laparoscopic correction of the uterine muscle loss in the scar after a Caesarean section delivery

Michał Ciebiera

,

Grzegorz Jakiel

,

Aneta Słabuszewska-Jóźwiak

Videosurgery Miniinv 2013; 8 (4): 342–345

DOI: https://doi.org/10.5114/wiitm.2013.39514

Online publish date: 2013/12/18

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Caesarean section is the most frequently conducted surgery in modern obstetrics. It involves a significant risk of complications; also disorders in the area of the scar after hysterotomy may lead to menstrual disorders, pain and secondary infertility. In light of the presented facts the significance of a good uterus muscle correction method is high. We present a case of a 28-year-old patient after Caesarean section with further reproductive plans. In the ultrasonographic examination the residual thickness of the uterine wall was approx. 2.5–3 mm. The patient was operated on using laparoscopy and the fibrotic scar tissue was removed. During the follow-up examination in transvaginal ultrasonography the uterine muscularis was continuous on the whole surface. Laparoscopic treatment ensures the appropriate visibility which makes the risk of damage to the adjacent organs lower, and the time of convalescence is short. It provides repetitive good results from the anatomical and functional points of view.

keywords:

Laparoscopic correction of the uterine muscle loss in the scar after a Caesarean section delivery

Michał Ciebiera , Grzegorz Jakiel , Aneta Słabuszewska-Jóźwiak

Caesarean section, laparoscopy, uterine scar, minimally invasive surgery

Michał Ciebiera

,

Grzegorz Jakiel

,

Aneta Słabuszewska-Jóźwiak