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  • 2019, June


    Hysteroscopy Versus Laparoscopy in the Management of Isthmocele: A Review of the LiteratureOpen Access

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    Abstract [+]

    Isthmocele is a pouch defect of the anterior uterine wall, detected at the site of the previous cesarean scar. It can be asymptomatic or cause abnormal uterine bleeding, pelvic discomfort and difficulty conceiving. The main objective of this review is to highlight the hysteroscopic and laparoscopic approaches in the management of this disorder.

    Main Findings
    During the hysteroscopic approach, the superior and inferior edges or just the superior edge of the defect are resected, removing the fibrotic tissue and allowing renewal of the continuous canal between the cervix and the uterine cavity. Whereas, the laparoscopic approach consists of direct visualization and removal of the defect followed by re-approximation of the myometrium. Both methods lead to significant improvement in symptoms and fertility.

    While hysteroscopy is a quick non-morbid procedure that allows concurrent removal of other uterine pathology, laparoscopy is characterized by improved visualization and decreased risk of complications with defects less than 3mm as well as the possible correction of uterine retroversion. Definitely, randomized controlled trials are required in this field for better guidance of the diagnosis and management.

    Isthmocele; Uterine niche; Cesarean scar defect; Cesarean scar syndrome; Hysteroscopy; Laparoscopy.

About the Journal

Women’s Health – Open Journal (WHOJ) is an online open access journal which deals with the prevalent health, psychological and social issues, specific to a woman.

The journal aims at disseminating health issues such as menstruation, contraception, maternal health, childbirth, menopause, and breast cancer as well as creating awareness regarding the social stigma such as sexual education, contraception, abortion and discrimination faced by a woman in the society.

Having always been a thought-provoking subject, women’s health and related issues will help spread social awareness pertaining to the qualms of gender as a social determinant of health and issues specific to human female anatomy. This will further help in understanding the areas where biological sex differences between women and men exist.

The World Health Organization emphasizes gender being a social determinant of health and exposes all the initiatives required to handle the health issues of a woman more than a moral issue.

Openventio is determined to propagate all the detailed issues related to the women’s health through its open journal to the female community for its welfare.

Aims and Scope

Women’s Health – Open Journal (WHOJ) is dedicated to the open dissemination and robust discussion of the health issues of  women, covering a wide array of subjects as given below:

  • Diabetes in pregnancy
  • Breast cancer
  • Reproductive disorders
  • Women’s safety
  • Abortion and its management
  • Aging
  • Oral contraception in women
  • Premature ovarian failure
  • Obesity and pregnancy
  • Disability
  • Women’s psychology and other related disorders

Submissions towards this journal may be range from the very basic women’s health to novel advancements.

The audience of WHOJ encourages physicians, nursing practitioners, women’s health specialists, gynecologists, obstetricians, oncologists, cardiologists, therapists, academicians and students to share their ideas.

The journal welcomes all types of articles such as original research, review, case-report, mini-review, editorial, short-communication, book-review, opinion, commentary, letter to the editor, conference, proceedings, technical report, errata, and illustrations.

We are open to receive comments and corrections to improve the quality of our journal.