DEBATE 2 – LAPAROSCOPY
Correct or Neglect? Cracking the Asymptomatic Niche Mystery

Chairs: Aya Mohr-Sasson
Faculty: Roy Mashiach, Alvaro Montealegre

Description: This course offers a detailed review of literature addressing the unresolved question of whether uterine scar defects, or niches, should be corrected in asymptomatic patients before or during pregnancy. Key topics include the impact of niches on fertility, such as reduced embryo implantation rates and increased miscarriage risks and their association with pregnancy complications, including abnormal implantation, placentation, and life-threatening uterine rupture. High-quality evidence and video demonstrations will illustrate the debated approaches and techniques, providing valuable insights into the management of niches in patients seeking future fertility.

Learning Objectives: At the end of this course, the participant will be able to:
Evaluate evidence and perspectives in order to critically analyze the existing literature on niche correction for asymptomatic patient for fertility reasons
Raise awareness of this unresolved clinical question and highlight its multifaceted aspects
Provide evidence-based insights and practical guidance on managing niches before and during pregnancy

Course Outline
2:00 PM Welcome, Introduction and Course Overview
A. Mohr-Sasson
2:05 PM Niche Correction: Does It Really Make a Difference?
R. Mashiach
2:25 PM Repairing the Niche: Why Correction Matters
A. Montealegre
2:45 PM Discussion Questions & Answers
3:00 PM Adjourn