Abstract
Video Objective To demonstrate the surgical technique of the laparoscopic isthmocele repair. Setting A 35-year-old woman with a previous caesarean refers secondary infertility of 1 year of evolution and abnormal uterine bleeding. Saline-infused sonohysterography shows a normal size uterus and an Isthmocele in the Left side with a residual myometrium of 0 mm. Interventions We describe the surgical technique for isthmocele correction by laparoscopy with the help of hysteroscopy to identify the area to be resected. Then, the abnormal tissue is resected with scissors and with a monopolar electrode. Finally the uterine wall is sutured. Conclusion The laparoscopic isthmocele repair is an easily reproducible technique for the treatment of this disease. In most cases the improvement of symptoms such as abnormal uterine bleeding and infertility is achieved.
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