Minimally Invasive Surgery for the Excision and Repair of Cesarean Scar Defect: A Scoping Review of the Literature
<i>Background and Objectives</i>: The isthmocele is a pouch-shaped defect in the anterior uterine wall, site of a previous cesarean section, due to a scar defect or dehiscence. The prevalence could be underestimated, but the rate of cesarean section is still high in the world. The prefer...
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2025-06-01
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| author | Daniela Surico Alessandro Vigone Carlotta Monateri Mario Tortora Carmen Imma Aquino |
| author_facet | Daniela Surico Alessandro Vigone Carlotta Monateri Mario Tortora Carmen Imma Aquino |
| author_sort | Daniela Surico |
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| description | <i>Background and Objectives</i>: The isthmocele is a pouch-shaped defect in the anterior uterine wall, site of a previous cesarean section, due to a scar defect or dehiscence. The prevalence could be underestimated, but the rate of cesarean section is still high in the world. The preferable technique to correct this anomaly is not clearly indicated in the literature. Our objective is to evaluate the literature on the surgical treatment of isthmocele in pre-Cesarean women treated with minimally invasive technique. Our hypothesis is that robotic treatment is more effective than other procedures in women desirous of having children. <i>Materials and Methods</i>: The words “isthmocele”, “laparoscopy”, “robot” and “cesarean scar pregnancy” were searched on the main online scientific search sources (PubMed, Google Scholar, Scopus, WES, and Embase, etc.). We included articles in English and French, chosen for the relevance to the topic. We have decided to include also surgical corrections of isthmocele linked to pregnancies at the site of the defect, with particular attention to video training explanation. <i>Results</i>: We analyzed the literature about the minimally invasive surgery for the repair of an isthmocele, evaluating 20 articles. Comparing several surgical techniques, robotic-assisted laparoscopy could be an effective method to correct the defect, without high risk of intraoperative complications. <i>Conclusions</i>: As indicated in the literature, robotic tailored excision and repair of isthmocele (and of concomitant cesarean scar pregnancy) could be advantageous and safe, and it is necessary to promote video-training about this technique. |
| format | Article |
| id | doaj-art-01ba8d166aee4b6a811f54a7490d2916 |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-01ba8d166aee4b6a811f54a7490d29162025-08-20T03:58:27ZengMDPI AGMedicina1010-660X1648-91442025-06-01617112310.3390/medicina61071123Minimally Invasive Surgery for the Excision and Repair of Cesarean Scar Defect: A Scoping Review of the LiteratureDaniela Surico0Alessandro Vigone1Carlotta Monateri2Mario Tortora3Carmen Imma Aquino4Department of Translational Medicine, Università del Piemonte Orientale, Gynecology and Obstetrics, AOU “Maggiore della Carità”, 28100 Novara, ItalyDepartment of Translational Medicine, Università del Piemonte Orientale, Gynecology and Obstetrics, AOU “Maggiore della Carità”, 28100 Novara, ItalyDepartment of Translational Medicine, Università del Piemonte Orientale, Gynecology and Obstetrics, AOU “Maggiore della Carità”, 28100 Novara, ItalyNeuroradiology Unit, Department of Advanced Biomedical Sciences, Università “Federico II”, 80138 Naples, ItalyDepartment of Translational Medicine, Università del Piemonte Orientale, Gynecology and Obstetrics, AOU “Maggiore della Carità”, 28100 Novara, Italy<i>Background and Objectives</i>: The isthmocele is a pouch-shaped defect in the anterior uterine wall, site of a previous cesarean section, due to a scar defect or dehiscence. The prevalence could be underestimated, but the rate of cesarean section is still high in the world. The preferable technique to correct this anomaly is not clearly indicated in the literature. Our objective is to evaluate the literature on the surgical treatment of isthmocele in pre-Cesarean women treated with minimally invasive technique. Our hypothesis is that robotic treatment is more effective than other procedures in women desirous of having children. <i>Materials and Methods</i>: The words “isthmocele”, “laparoscopy”, “robot” and “cesarean scar pregnancy” were searched on the main online scientific search sources (PubMed, Google Scholar, Scopus, WES, and Embase, etc.). We included articles in English and French, chosen for the relevance to the topic. We have decided to include also surgical corrections of isthmocele linked to pregnancies at the site of the defect, with particular attention to video training explanation. <i>Results</i>: We analyzed the literature about the minimally invasive surgery for the repair of an isthmocele, evaluating 20 articles. Comparing several surgical techniques, robotic-assisted laparoscopy could be an effective method to correct the defect, without high risk of intraoperative complications. <i>Conclusions</i>: As indicated in the literature, robotic tailored excision and repair of isthmocele (and of concomitant cesarean scar pregnancy) could be advantageous and safe, and it is necessary to promote video-training about this technique.https://www.mdpi.com/1648-9144/61/7/1123isthmocelecesarean scar defectcesarean section complicationscesarean scar pregnancylaparoscopyrobotic-assisted surgery |
| spellingShingle | Daniela Surico Alessandro Vigone Carlotta Monateri Mario Tortora Carmen Imma Aquino Minimally Invasive Surgery for the Excision and Repair of Cesarean Scar Defect: A Scoping Review of the Literature Medicina isthmocele cesarean scar defect cesarean section complications cesarean scar pregnancy laparoscopy robotic-assisted surgery |
| title | Minimally Invasive Surgery for the Excision and Repair of Cesarean Scar Defect: A Scoping Review of the Literature |
| title_full | Minimally Invasive Surgery for the Excision and Repair of Cesarean Scar Defect: A Scoping Review of the Literature |
| title_fullStr | Minimally Invasive Surgery for the Excision and Repair of Cesarean Scar Defect: A Scoping Review of the Literature |
| title_full_unstemmed | Minimally Invasive Surgery for the Excision and Repair of Cesarean Scar Defect: A Scoping Review of the Literature |
| title_short | Minimally Invasive Surgery for the Excision and Repair of Cesarean Scar Defect: A Scoping Review of the Literature |
| title_sort | minimally invasive surgery for the excision and repair of cesarean scar defect a scoping review of the literature |
| topic | isthmocele cesarean scar defect cesarean section complications cesarean scar pregnancy laparoscopy robotic-assisted surgery |
| url | https://www.mdpi.com/1648-9144/61/7/1123 |
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