Robotic repair of uterine dehiscence

JSLS. 2013 Jan-Mar;17(1):156-60. doi: 10.4293/108680812X13517013317996.

Abstract

Background and objectives: During the past few decades, there has been a significant increase in the number of cesarean deliveries, and thus an increase in the number of complications. A common complication of multiple cesarean deliveries is symptomatic uterine scar dehiscence, for which there are no treatment guidelines available. We report a case of uterine scar dehiscence-the repair of it by robotic surgery-and review the literature on this defect.

Case: The patient was a 39-year-old woman, gravida 4 para 2022, complaining of persistent vaginal spotting for the prior 5 months with a history of a cesarean delivery 3 months before the onset of the symptoms.

Discussion: We report a case of a successful robotic repair of a symptomatic cesarean scar defect.

Conclusion: We propose further studies that include more patients so this technique may become the standard for cesarean scar defect.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cesarean Section, Repeat / adverse effects*
  • Cicatrix / complications*
  • Electrocoagulation
  • Female
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Hysteroscopy
  • Robotics*
  • Surgical Wound Dehiscence / physiopathology
  • Surgical Wound Dehiscence / surgery*
  • Uterus / pathology*
  • Uterus / surgery
  • Wound Healing / physiology