Isthmoplasty: Surgical Techniques and Review of Literature

Andres Vigueras Smith; Monica Tessmann Zomer Kondo; Carlos Trippia; William Kondo

doi:doi:10.11648/j.ass.20180602.16

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Isthmoplasty: Surgical Techniques and Review of Literature

Andres Vigueras Smith, Monica Tessmann Zomer Kondo, Carlos Trippia, William Kondo

Published in Advances in Surgical Sciences (Volume 6, Issue 2)

Received: 1 November 2018 Accepted: 21 November 2018 Published: 19 December 2018

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Abstract

The present review aims to analyze the current data available on the different endoscopic surgical techniques described for Isthmocele treatment. A semantic review of literature was made of all english language publications on databases Pubmed and Google Scholar following a Mesh and key word searching. The studies were finally selected by one author according to the aim of this review. The isthmocele, defined as a defect of the anterior wall of the uterine cervical canal at the site of a previous cesarean section scar, is a prevalent condition in women submitted to gynecological endoscopic procedures. Epidemiological studies report a 1.9% of cesarean scar defects, rising in the last decades, and it is clear that the repair carrie benefits in terms of symptom control and sub-fertility. The minimally invasive approach is the gold standard due the inherent benefits in quality and magnification of image, less postoperative pain, hospital stay and minor complications rate. It can be treated either by laparoscopy or hysteroscopy according to the presentation of the disease and the preference of the surgical team, since both have the same efficacy in symptoms improvement (59% to 90%). Laparoscopy is usually indicated when overlying myometrial mantle is less than 3 mm, and allows an increase in postoperative myometrial streght. Different surgical techniques have been described and supposedly, there is no significant difference among them. Large analytical prospective experimental studies are required to confirm the results of this data and to investigate as to whether there is a better laparoscopic technique.

Published in	Advances in Surgical Sciences (Volume 6, Issue 2)
DOI	10.11648/j.ass.20180602.16
Page(s)	72-80
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Laparoscopic Surgery, Hysteroscopic Surgery, Isthmocele, Surgical Treatment, Techniques, Niche, Cesarean Scar Defect

References

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APA Style

Andres Vigueras Smith, Monica Tessmann Zomer Kondo, Carlos Trippia, William Kondo. (2018). Isthmoplasty: Surgical Techniques and Review of Literature. Advances in Surgical Sciences, 6(2), 72-80. https://doi.org/10.11648/j.ass.20180602.16

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ACS Style

Andres Vigueras Smith; Monica Tessmann Zomer Kondo; Carlos Trippia; William Kondo. Isthmoplasty: Surgical Techniques and Review of Literature. Adv. Surg. Sci. 2018, 6(2), 72-80. doi: 10.11648/j.ass.20180602.16

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AMA Style

Andres Vigueras Smith, Monica Tessmann Zomer Kondo, Carlos Trippia, William Kondo. Isthmoplasty: Surgical Techniques and Review of Literature. Adv Surg Sci. 2018;6(2):72-80. doi: 10.11648/j.ass.20180602.16

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@article{10.11648/j.ass.20180602.16,
  author = {Andres Vigueras Smith and Monica Tessmann Zomer Kondo and Carlos Trippia and William Kondo},
  title = {Isthmoplasty: Surgical Techniques and Review of Literature},
  journal = {Advances in Surgical Sciences},
  volume = {6},
  number = {2},
  pages = {72-80},
  doi = {10.11648/j.ass.20180602.16},
  url = {https://doi.org/10.11648/j.ass.20180602.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20180602.16},
  abstract = {The present review aims to analyze the current data available on the different endoscopic surgical techniques described for Isthmocele treatment. A semantic review of literature was made of all english language publications on databases Pubmed and Google Scholar following a Mesh and key word searching. The studies were finally selected by one author according to the aim of this review. The isthmocele, defined as a defect of the anterior wall of the uterine cervical canal at the site of a previous cesarean section scar, is a prevalent condition in women submitted to gynecological endoscopic procedures. Epidemiological studies report a 1.9% of cesarean scar defects, rising in the last decades, and it is clear that the repair carrie benefits in terms of symptom control and sub-fertility. The minimally invasive approach is the gold standard due the inherent benefits in quality and magnification of image, less postoperative pain, hospital stay and minor complications rate. It can be treated either by laparoscopy or hysteroscopy according to the presentation of the disease and the preference of the surgical team, since both have the same efficacy in symptoms improvement (59% to 90%). Laparoscopy is usually indicated when overlying myometrial mantle is less than 3 mm, and allows an increase in postoperative myometrial streght. Different surgical techniques have been described and supposedly, there is no significant difference among them. Large analytical prospective experimental studies are required to confirm the results of this data and to investigate as to whether there is a better laparoscopic technique.},
 year = {2018}
}

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TY  - JOUR
T1  - Isthmoplasty: Surgical Techniques and Review of Literature
AU  - Andres Vigueras Smith
AU  - Monica Tessmann Zomer Kondo
AU  - Carlos Trippia
AU  - William Kondo
Y1  - 2018/12/19
PY  - 2018
N1  - https://doi.org/10.11648/j.ass.20180602.16
DO  - 10.11648/j.ass.20180602.16
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 72
EP  - 80
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20180602.16
AB  - The present review aims to analyze the current data available on the different endoscopic surgical techniques described for Isthmocele treatment. A semantic review of literature was made of all english language publications on databases Pubmed and Google Scholar following a Mesh and key word searching. The studies were finally selected by one author according to the aim of this review. The isthmocele, defined as a defect of the anterior wall of the uterine cervical canal at the site of a previous cesarean section scar, is a prevalent condition in women submitted to gynecological endoscopic procedures. Epidemiological studies report a 1.9% of cesarean scar defects, rising in the last decades, and it is clear that the repair carrie benefits in terms of symptom control and sub-fertility. The minimally invasive approach is the gold standard due the inherent benefits in quality and magnification of image, less postoperative pain, hospital stay and minor complications rate. It can be treated either by laparoscopy or hysteroscopy according to the presentation of the disease and the preference of the surgical team, since both have the same efficacy in symptoms improvement (59% to 90%). Laparoscopy is usually indicated when overlying myometrial mantle is less than 3 mm, and allows an increase in postoperative myometrial streght. Different surgical techniques have been described and supposedly, there is no significant difference among them. Large analytical prospective experimental studies are required to confirm the results of this data and to investigate as to whether there is a better laparoscopic technique.
VL  - 6
IS  - 2
ER  -

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Author Information

Andres Vigueras Smith

Department of Gynecology, Sugisawa Hospital, Curitiba, Brazil
Monica Tessmann Zomer Kondo

Department of Gynecology, Sugisawa Hospital, Curitiba, Brazil
Carlos Trippia

Department of Radiology, Nossa Senhora das Gra?as Hospital, Curitiba, Brazil
William Kondo

Department of Gynecology, Sugisawa Hospital, Curitiba, Brazil

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APA Style

Andres Vigueras Smith, Monica Tessmann Zomer Kondo, Carlos Trippia, William Kondo. (2018). Isthmoplasty: Surgical Techniques and Review of Literature. Advances in Surgical Sciences, 6(2), 72-80. https://doi.org/10.11648/j.ass.20180602.16

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ACS Style

Andres Vigueras Smith; Monica Tessmann Zomer Kondo; Carlos Trippia; William Kondo. Isthmoplasty: Surgical Techniques and Review of Literature. Adv. Surg. Sci. 2018, 6(2), 72-80. doi: 10.11648/j.ass.20180602.16

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AMA Style

Andres Vigueras Smith, Monica Tessmann Zomer Kondo, Carlos Trippia, William Kondo. Isthmoplasty: Surgical Techniques and Review of Literature. Adv Surg Sci. 2018;6(2):72-80. doi: 10.11648/j.ass.20180602.16

Copy | Download

@article{10.11648/j.ass.20180602.16,
  author = {Andres Vigueras Smith and Monica Tessmann Zomer Kondo and Carlos Trippia and William Kondo},
  title = {Isthmoplasty: Surgical Techniques and Review of Literature},
  journal = {Advances in Surgical Sciences},
  volume = {6},
  number = {2},
  pages = {72-80},
  doi = {10.11648/j.ass.20180602.16},
  url = {https://doi.org/10.11648/j.ass.20180602.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20180602.16},
  abstract = {The present review aims to analyze the current data available on the different endoscopic surgical techniques described for Isthmocele treatment. A semantic review of literature was made of all english language publications on databases Pubmed and Google Scholar following a Mesh and key word searching. The studies were finally selected by one author according to the aim of this review. The isthmocele, defined as a defect of the anterior wall of the uterine cervical canal at the site of a previous cesarean section scar, is a prevalent condition in women submitted to gynecological endoscopic procedures. Epidemiological studies report a 1.9% of cesarean scar defects, rising in the last decades, and it is clear that the repair carrie benefits in terms of symptom control and sub-fertility. The minimally invasive approach is the gold standard due the inherent benefits in quality and magnification of image, less postoperative pain, hospital stay and minor complications rate. It can be treated either by laparoscopy or hysteroscopy according to the presentation of the disease and the preference of the surgical team, since both have the same efficacy in symptoms improvement (59% to 90%). Laparoscopy is usually indicated when overlying myometrial mantle is less than 3 mm, and allows an increase in postoperative myometrial streght. Different surgical techniques have been described and supposedly, there is no significant difference among them. Large analytical prospective experimental studies are required to confirm the results of this data and to investigate as to whether there is a better laparoscopic technique.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Isthmoplasty: Surgical Techniques and Review of Literature
AU  - Andres Vigueras Smith
AU  - Monica Tessmann Zomer Kondo
AU  - Carlos Trippia
AU  - William Kondo
Y1  - 2018/12/19
PY  - 2018
N1  - https://doi.org/10.11648/j.ass.20180602.16
DO  - 10.11648/j.ass.20180602.16
T2  - Advances in Surgical Sciences
JF  - Advances in Surgical Sciences
JO  - Advances in Surgical Sciences
SP  - 72
EP  - 80
PB  - Science Publishing Group
SN  - 2376-6182
UR  - https://doi.org/10.11648/j.ass.20180602.16
AB  - The present review aims to analyze the current data available on the different endoscopic surgical techniques described for Isthmocele treatment. A semantic review of literature was made of all english language publications on databases Pubmed and Google Scholar following a Mesh and key word searching. The studies were finally selected by one author according to the aim of this review. The isthmocele, defined as a defect of the anterior wall of the uterine cervical canal at the site of a previous cesarean section scar, is a prevalent condition in women submitted to gynecological endoscopic procedures. Epidemiological studies report a 1.9% of cesarean scar defects, rising in the last decades, and it is clear that the repair carrie benefits in terms of symptom control and sub-fertility. The minimally invasive approach is the gold standard due the inherent benefits in quality and magnification of image, less postoperative pain, hospital stay and minor complications rate. It can be treated either by laparoscopy or hysteroscopy according to the presentation of the disease and the preference of the surgical team, since both have the same efficacy in symptoms improvement (59% to 90%). Laparoscopy is usually indicated when overlying myometrial mantle is less than 3 mm, and allows an increase in postoperative myometrial streght. Different surgical techniques have been described and supposedly, there is no significant difference among them. Large analytical prospective experimental studies are required to confirm the results of this data and to investigate as to whether there is a better laparoscopic technique.
VL  - 6
IS  - 2
ER  -

Copy | Download