Isthmocele - complication of caesarean section deliveries

C.A. Coroleucă, C.B. Coroleucă, M. Cîrstoiu, C. Berceanu, C. Mehedințu, R. Bohîlțea, S. Vlădăreanu, E. Brătilă, M. Mitran

Rezumat: wall of the uterine isthmus located at the site of a previous cesarean delivery scar. Although in the last two decades the number of caesareans is globally on an ascending trend and the incidence of isthmocele is directly proportional increasing, the effects of this condition are insufficiently known and debated. Material and method. This paper presents an analysis of the isthmocele consequences based on literature review. Results. Isthmocele represents a vicious scarring of the uterine wall that leads to anatomical distortion of the uterus. Isthmocele can cause abnormal uterine bleeding, chronic pelvic pain and secondary infertility. The obstetrical consequences are abnormal insertion of the placenta and uterine scar pregnancy. Conclusion. Isthmocele incidence is increasing and frequently underdiagnosed. Isthmocele causes uterine distortion, thereby affecting the quality of life of the patients and serious complications in future pregnancies. Minimally invasive surgery is recommended for preventing and improving complications determined by isthmocele.
Cuvinte cheie: isthmocele, caesarean section, uterine scar, secondary infertility.