472. Case report of successful pregnancy after hysteroscopic repair щa isthmocele with residual myometrium thickness of less than 3mm

Abstract

Issues of isthmocele (IC) treatment are actual as frequency of cesarean sections (CS) continues to grow. IC can cause abnormal uterine bleeding, dysmenorrhea, fertility impairment and pregnancy complications. Currently the following approaches to surgical treatment of IC are used: for women not planning pregnancy, with residual myometrium thickness (RMT) >3mm, hysteroscopy is most appropriate; for women planning pregnancy, especially with RMT<3mm, laparoscopic repair is advised. Though comparative studies are lacking.