What are the risk factors for unsuccessful surgery in hysteroscopic isthmocele resection?

Although a hysteroscopic isthmocele resection is recommended for patients with an RMT over 3 mm, certain factors increase the risk of surgical failure. If an isthmocele area exceeds 23.5 mm², the number of previous caesarean sections is three or more or a person's BMI is 27.5 or higher, the risk of unsuccessful hysteroscopic surgery is high. In these patients, isthmocele repair should be performed via the laparoscopy, laparotomy or vaginal approach.

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Publication Details

Journal
Ginekologia Polska
Published
2025-09-18
DOI
https://doi.org/10.5603/gpl.106814
Primary Topic
Gynecological conditions and treatments
Type
article
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article

What are the risk factors for unsuccessful surgery in hysteroscopic isthmocele resection?

Serhat Ege, Elif Ağaçayak, Abdurrahman Sengi, Talip Karaçor et al.
Ginekologia Polska
Gynecological conditions and treatments
article

What are the risk factors for unsuccessful surgery in hysteroscopic isthmocele resection?

Serhat Ege, Elif Ağaçayak, Abdurrahman Sengi, Talip Karaçor, Nurullah Peker, Mehmet Sıddık Evsen, İbrahim Yıldız
article en

Abstract

Although a hysteroscopic isthmocele resection is recommended for patients with an RMT over 3 mm, certain factors increase the risk of surgical failure. If an isthmocele area exceeds 23.5 mm², the number of previous caesarean sections is three or more or a person's BMI is 27.5 or higher, the risk of unsuccessful hysteroscopic surgery is high. In these patients, isthmocele repair should be performed via the laparoscopy, laparotomy or vaginal approach.

Ginekologia PolskaVol. 96(10)
Sakarya University (TR), Dicle University (TR), University of Turku (FI), Sakarya Eğitim ve Araştırma Hastanesi (TR), Diyarbakır Gazi Yaşargil Eğitim ve Araştırma Hastanesi (TR)
Openalex Percentile: Top 67%
Gynecological conditions and treatments
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