This course provides a comprehensive approach to making the correct diagnosis, determining when treatment is needed, what therapeutic approach best fits the needs of each patient, and finally how to minimize the occurrence of uterine niche. The course uses an objective stepwise approach to making the correct diagnosis using different imaging techniques, leading to proper surgical route selection individualized for the patient’s needs. The last discussion will focus on prevention of uterine niche by coupling surgical technique and suture material used to close hysterotomy defects created at the time of cesarean delivery.

Learning Objectives: After attending this session, the participant will be able to: 1) Utilize the different diagnostic modalities available for the diagnosis of Uterine niche; 2) Take the steps needed to confidently treat uterine niche laparoscopically and hysteroscopically; and 3) Strategize on prevention of uterine niche by coupling excellent surgical technique and proper suture material selection.

Presentations:
Welcome, Introduction and Course Overview

Diagnostic Choices: A Comprehensive Guide From 2D Transvaginal Ultrasound, Saline Infusion Sonohysterography, and Magnetic Resonance Imaging
Scott W. Young, MD, Mayo Clinic, Phoenix, AZ

Intra-Operative Identification, Resection of Niche and Reconstruction of Lower Uterine Segment: Robotic/Laparoscopic Approach
Jamal Mourad, DO, Banner University Medical Center Phoenix, Phoenix, AZ

Intra-Operative Identification, Resection of Niche and Reconstruction of Lower Uterine Segment: Hysteroscopic/Vaginal Approach
Nash S. Moawad, MD, MS, FACOG, FACS, Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics & Gynecology, University of Florida College of Medicine, Gainesville, FL

Prevention: Surgical Technique and Suture Material Play an Important Role in Tissue Healing and Prevention of Niche
Sven Becker, MD, PhD, Frankfurt University Women's Hospital, Frankfurt, Germany

Discussion - Questions & Answers - All Faculty

Adjourn