Mini-Laparoscopic Isthmocele Repair

Study Objective Describe excision and repair of uterine isthmocele using mini-laparoscopic instruments. Design Instructional video on technique. Setting Individual case. Patients or Participants The patient is a 35yo g1p1 with prior term cesarean delivery and subsequent secondary infertility. Her workup was unremarkable apart from saline ultrasound showing a significant uterine isthmocele. Prior to moving forward with IVF, her reproductive endocrinologist recommended correction of the isthmocele. Interventions Laparoscopic repair of uterine isthmocele using 5 and 3-mm instruments Measurements and Main Results The isthmocele was completely excised and repaired with postoperative saline ultrasound showing thick myometrium in place of previous uterine defect. Conclusion Robust excision and repair of a uterine isthmocele can be readily accomplished with simply three small laparoscopic incisions.