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- Title
A Trimming Technique: A Case Report of a Novel Surgical Approach for Cesarean Scar Dehiscence During Cesarean Section.
- Authors
Daisuke Katsura; Shunichiro Tsuji; Takako Hoshiyama; Rika Zen; Ayako Inatomi; Takashi Murakami
- Abstract
Cesarean section can lead to residual myometrial thickness thinning and cesarean scar syndrome. We report a novel trimming technique for residual myometrial thickness recovery in women with cesarean scar syndrome. Case 1: A 33-year-old woman who developed cesarean scar syndrome (CSS) and abnormal uterine bleeding post-cesarean scar became pregnant following hysteroscopic treatment. The myometrium at previous scar was dehiscent; therefore, a transverse incision was made above the scar. Post-operative uterine recovery failed owing to lochia retention, and developed cesarean scar syndrome again. Case 2: A 29-year-old woman who developed cesarean scar syndrome post-cesarean section became pregnant spontaneously. The myometrium at the previous scar was dehiscent like case 1. Scar repair was performed using a trimming technique during cesarean section; there were no subsequent complications and she conceived again spontaneously. Performing this novel surgical procedure during cesarean section may contribute to residual myometrial thickness recovery in women with cesarean scar syndrome.
- Subjects
CESAREAN section; SURGICAL wound dehiscence; MYOMETRIUM; SURGICAL complications; HYSTEROSCOPY
- Publication
Yonago Acta Medica, 2023, Vol 66, Issue 2, p287
- ISSN
0513-5710
- Publication type
Case Study
- DOI
10.33160/yam.2023.05.004