Minimally invasive procedure for repair of uterine isthmocele, a rare cause of infertility: a case report

One of the known complications after caesarean delivery is uterine caesarean scar defect or isthmocele. Isthmocele is usually asymptomatic or may cause gynecological problems, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain. Isthmocele may cause obstetrical sequalae like preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placental implantation. In the present case report, asymptomatic patient underwent laparoscopic surgery for isthmocele repair after shared decision-making and medical treatment have been evaluated. We suggested that isthmoplasty should be offered to women with symptoms or if it is causing infertility.

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Minimally invasive procedure for type II canal defect caesarean scar pregnancy with cardiac activity and high hCG titres at 8+2 weeks of gestation

Case Reports in Perinatal Medicine ◽

10.1515/crpm-2014-0049 ◽

2015 ◽

Vol 4 (2) ◽

Author(s):

Elif Gul Yapar Eyi

Keyword(s):

Minimally Invasive ◽

Cardiac Activity ◽

Invasive Procedure ◽

Severe Bleeding ◽

Type Ii ◽

Minimally Invasive Procedure ◽

Invasive Approach ◽

Crown Rump Length ◽

Caesarean Scar ◽

Caesarean Scar Pregnancy

AbstractType II caesarean scar pregnancy (CSP) not only poses important maternal hazards, such as severe bleeding, uterine rupture, disseminated intravascular coagulation and maternal death due to its abnormal location and invasive characteristics, but its surgical management may lead to operative complications and even loss of fertility. The sonographic and Doppler findings of a “canal defect CSP” that has previously been hypothesised, but not illustrated, are presented here. A minimally invasive approach was performed in the presence of a 38.3 mm gestational sac (GS) with a crown rump length of 11.3 mm embryo (8+2 weeks of gestation) and cardiac activity with high (118,839.2 mIU/mL) human chorionic gonadotropin (hCG) levels. A transabdominal intragestational sac injection of potassium chloride to stop cardiac activity, and consecutively, methotrexate (MTX) was given before systemic MTX therapy. Embryonic cardiac activity stopped. Systemic methotrexate was repeated 8 days after the procedure. While vaginal bleeding ceased in 3 weeks with gradual shrinkage of the GS, hCG fell to non-pregnant levels within 112 days (16 weeks); complete resolution of the ectopic mass required 8 months. This is the first report presenting the success of a minimally invasive procedure at a hCG level of 118,839.2 mIU/mL with embryonic cardiac activity in type II CSP.

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Aplicação mínima de ácido hialurônico para volumização labial - relato de caso

Simmetria Orofacial Harmonization in Science ◽

10.24077/2021;26-4450 ◽

2021 ◽

Vol 2 (6) ◽

pp. 44-50

Author(s):

Renata Bandeira Lages ◽

Aurinete da Silva Borges Formigieri ◽

Bruno Estevam de Carvalho Miranda ◽

Yves Viana Ramalho Oliveira

Keyword(s):

Hyaluronic Acid ◽

Case Report ◽

Side Effects ◽

Soft Tissue ◽

Minimally Invasive ◽

Invasive Procedure ◽

Self Esteem ◽

Minimally Invasive Procedure ◽

Present Case Report ◽

The Face

It is a great challenge to establish aesthetic excellence creating harmony between beauty and the function of the smile with the delicacy and complexity of the lips and components of the face. The use of soft tissue fillers with hyaluronic acid is a worldwide popular and minimally invasive procedure based on numerous studies. Due to its relative simplicity and favorable security profile, it is becoming easy to accept. The present case report aims to describe the lip filling technique, using a total volume of 1 ml of hyaluronic acid, to improve the patient’s aesthetic dissatisfaction. The result was satisfactory, with minimal side effects and optimizing the patient’s self-esteem.

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Common operation, uncommon complication. Bleeding from superior haemorrhoidal artery after minimally invasive procedure for hemorrhoids – a case report

Journal of Coloproctology ◽

10.1016/j.jcol.2018.09.005 ◽

2019 ◽

Vol 39 (1) ◽

pp. 70-73 ◽

Cited By ~ 1

Author(s):

Janavikula Sankaran Rajkumar ◽

Aluru Jayakrishna Reddy ◽

Ravikumar Radhakrishnan ◽

Anirudh Rajkumar ◽

Syed Akbar ◽

...

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Invasive Procedure ◽

Minimally Invasive Procedure ◽

Common Operation ◽

Uncommon Complication

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Bilateral Uterine Artery Chemoembolization with Methotrexate and Gelatine Foam for Caesarean Scar Pregnancy – Case Report

Obstetrics and Gynaecology Cases - Reviews ◽

10.23937/2377-9004/1410003 ◽

2014 ◽

Vol 1 (1) ◽

Author(s):

Krzysztof Pyra

Keyword(s):

Case Report ◽

Uterine Artery ◽

Caesarean Scar ◽

Caesarean Scar Pregnancy

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External fixator for the treatment of narrowed pelvic canal in a cat

Veterinární Medicína ◽

10.17221/173/2020-vetmed ◽

2021 ◽

Author(s):

S Pinna ◽

C Tassani ◽

M Rossini ◽

F Lanzi

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Clinical Examination ◽

External Fixator ◽

Invasive Procedure ◽

Sacral Fracture ◽

Minimally Invasive Procedure ◽

Canal Stenosis ◽

Applied Tension ◽

History Of

The aim of this study was to report the outcome of the use of an external fixator to treat a pelvic canal stenosis in a 5-month-old female cat. The cat was referred with a history of 3 weeks of intermittent signs of constipation refractory to the medical management, occurring after surgical treatment for a bilateral sacroiliac luxation and sacral fracture. The clinical examination revealed instability of the pelvis and a radiograph showed a pelvic canal stenosis and megacolon. External fixator was the method of choice to be used in this case. The manually applied tension on an external fixator resulted in a widening of the pelvic canal. At 45 days after surgery, there were no signs of constipation, and the radiological examination showed progressive bone healing. At 18 months post-op, the cat had no abnormalities both on the clinical examination and on the radiography. In conclusion, the use of an external fixator led to the widening of the pelvic canal using a minimally invasive procedure. To the authors’ knowledge, this case report represents the first surgical description and clinical outcome of the widening of the pelvic canal in cats using an external skeletal fixator.

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Is it necessary to correct a caesarean scar defect before a subsequent pregnancy? A report of three cases

Journal of International Medical Research ◽

10.1177/0300060519835068 ◽

2019 ◽

Vol 47 (5) ◽

pp. 2248-2255

Author(s):

Piotr Szkodziak ◽

Anna Stępniak ◽

Piotr Czuczwar ◽

Filip Szkodziak ◽

Tomasz Paszkowski ◽

...

Keyword(s):

Caesarean Section ◽

Preterm Delivery ◽

Uterine Rupture ◽

Subsequent Pregnancy ◽

Surgical Correction ◽

The Other ◽

Obstetric Outcome ◽

Caesarean Scar ◽

Caesarean Scar Pregnancy ◽

Caesarean Scar Defect

Rates of caesarean section have increased over recent years and so too have associated complications, one of which is a caesarean scar defect (CSD). The defect may cause gynaecological symptoms, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain or it may be asymptomatic. The presence of CSD may lead to obstetrical sequalae such as preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placenta implantation. Three cases of CSD are described here. In one case, surgical correction of the CSD was performed before a subsequent pregnancy with an uncomplicated obstetric outcome. In the other two cases, surgical correction of the CSD was not performed and the pregnancies were complicated by caesarean scar dehiscence and caesarean scar pregnancy. We suggest that women with a CSD may benefit from surgical correction of the defect before becoming pregnant to reduce the likelihood of serious complications.

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