La Rosa Mauricio Francisco, McCarthy Shirley, Richter Christine, Azodi Masoud
JSLS. 2013 Jan-Mar;17(1):156-60. doi: 10.4293/108680812X13517013317996.
During the past few decades, there has been a significant increase in the number of cesarean deliveries, and thus an increase in the number of complications. A common complication of multiple cesarean deliveries is symptomatic uterine scar dehiscence, for which there are no treatment guidelines available. We report a case of uterine scar dehiscence-the repair of it by robotic surgery-and review the literature on this defect.
The patient was a 39-year-old woman, gravida 4 para 2022, complaining of persistent vaginal spotting for the prior 5 months with a history of a cesarean delivery 3 months before the onset of the symptoms.
We report a case of a successful robotic repair of a symptomatic cesarean scar defect.
We propose further studies that include more patients so this technique may become the standard for cesarean scar defect.
在过去几十年间，剖宫产数量显著增加，并发症数量也随之上升。多次剖宫产的常见并发症是有症状的子宫瘢痕裂开，目前尚无治疗指南。我们报告一例子宫瘢痕裂开病例——通过机器人手术进行修复——并回顾关于此缺陷的文献。
患者为一名39岁女性，孕4产2022，主诉在过去5个月持续出现阴道点滴出血，症状出现前3个月有剖宫产史。
我们报告一例成功通过机器人手术修复有症状的剖宫产瘢痕缺陷的病例。
我们建议开展纳入更多患者的进一步研究，以便该技术可能成为剖宫产瘢痕缺陷的治疗标准。
