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Virtual Poster Details

Name
09850 - 10-Step Isthmocele Repair in a Unicornuate Uterus
Presenting Author
Mason Hui
Affiliation
McGovern Medical School at The University of Texas Health Science Center at Houston
Abstract
Study Objective: To review isthmocele findings and to describe a 10-step approach for the surgical repair of an isthmocele in a unicornuate uterus

Design: Narrated video footage

Setting: single academic institution

Patients or Participants: 41-year-old female, G11P2183 with a history of unicornuate uterus and three prior Cesarean sections, who was referred from reproductive endocrinology and infertility for diagnosis of isthmocele. Patient elected for surgical repair of the isthmocele.

Interventions: Robotic-assisted laparoscopic excision and repair of an isthmocele in the setting of a unicornuate uterus under hysteroscopic guidance. 10-step approach includes the following:

  1. Hysteroscopy
  2. Uterine manipulator with cervical cup
  3. Vasopressin
  4. Lysis of adhesions
  5. Backfill bladder
  6. Develop vesico-uterine space
  7. Identify isthmocele
  8. Excise / Revise defect
  9. Closure of defect
  10. Cystoscopy

Measurements and Main Results: n/a

Conclusion: Isthmocele is a rare complication of Cesarean section which can cause future pregnancy complications and infertility issues. Correction of an isthmocele can be performed safely using a 10-step approach with robotic-assisted laparoscopy under hysteroscopic guidance.

Authors

Hui, M*1, Mohr-Sasson, A1, Dziadek, O2, Leon, MG1, Montealegre, A1, Bhalwal, A1. 1Department of Obstetrics, Gynecology & Reproductive Science, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX; 2Obstetrics, Gynecology and Reproductive Sciences, UTHealth Houston, Houston, TX

Primary Category
Reproductive Medicine
Secondary Category
Robotics
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