Laparoscopic repair using nonperfusion hysteroscopy tied to precise and complete resection of cesarean scar defect
Yusuke Sako and team carried out Technical video introducing laparoscopic scar repair using nonperfusion hysteroscopy for patients with a CSD at a Tertiary referral facility for gynecology to demonstrate a 5-step approach to accurately identify the extent of resection of a cesarean scar defect (CSD) and perform excision and repair of the lesion.
A 33-year-old woman who underwent intrauterine insemination for secondary infertility 3 times but did not conceive complained of repeated irregular bleeding caused by a CSD during infertility treatment was taken as subject.
The video presents a systematic 5-step approach to laparoscopic repair of a CSD.
Step 1: the lesion was coagulated and marked using a hysteroscope.
Step 2: the lesion was thinned by cutting it using the hysteroscope.
Step 3: after laparoscopic dissection of the bladder from the lower uterine segment and turning off the laparoscope's light source, the thinned lesion could be identified using light from the hysteroscope.
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