Abstract

CARRENO-MARTINEZ, Angie Carolina  and  SEPULVEDA-AGUDELO, Janer. Therapeutic options for cesarean scar defect. Medicas UIS [online]. 2019, vol.32, n.3, pp.11-17.  Epub Dec 09, 2019. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v32n3-2019002.

The postcesarean scar defect is a defect in the anterior wall of the myometrium secondary to the cesarean section. Its prevalence is variable, reaching up to 84% in some studies, increasing with the number of previous cesarean sections. Most of the patients can be asymptomatic, but when it manifests, is mostly with abnormal uterine bleeding. Its management has been described with pharmacological and surgical techniques, the latter being the most researched. They include the hysteroscopy, laparoscopy, laparotomy, and the vaginal approach. A revision in PubMed-MEDLINE and LILACS about the management of this defect was done, including articles published in the last five years, resulting in 37 articles. The selection of the treatment depends on different factors such as the patient’s symptoms, if she has satisfied parity or not, the depth of the defect and the patient’s preferences. MÉD.UIS.2019;32(3):11-7

Keywords : Cesarean section; Cicatrix; Hysteroscopy; Laparoscopy..

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