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Current surgical treatment of uterine isthmocele: an update of existing literature.

Arch Gynecol Obstet

December 2024

Department of Obstetrics and Gynecology, Spital Männedorf, 8708, Männedorf, Switzerland.

The prevalence of uterine isthmocele, also known as a uterine niche, has risen in parallel with increasing cesarean section (CS) rates, affecting approximately 60% of women depending on their history of cesarean deliveries. This condition, now categorized as cesarean scar disorder (CSD) by the "Delphi consensus," is characterized by one primary or two secondary symptoms. Diagnosis can be made through transvaginal ultrasound, sonohysterography, hysteroscopy, or magnetic resonance imaging (MRI).

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Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in Benign Gynaecology: A Systematic Review of Adnexal, Myomectomy and Prolapse Procedures.

J Minim Invasive Gynecol

December 2024

University of Sydney, NSW, Australia; Sydney West Area Pelvic Surgical Unit (SWAPS), NSW, Australia; Department of Obstetrics and Gynaecology, Westmead Hospital, NSW, Australia.

Objective: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is utilised for gynaecological procedures globally, however evidence to support its application aside from hysterectomy is lacking. A systematic review to determine feasibility and safety profile of vNOTES for benign gynaecology was conducted.

Data Sources: A literature search of MEDLINE, EMBASE, CINAHL, SCOPUS and CENTRAL was conducted, including all types of studies reporting vNOTES for gynaecological indications.

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Article Synopsis
  • - A rare case of right interstitial pregnancy occurred in a 32-year-old woman who had previously undergone a salpingo-oophorectomy, leading to an emergency room visit due to suspected ectopic pregnancy.
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