Analysis of outcomes of laparotomic, laparoscopic, and hysteroscopic symptomatic ısthmocele (niche) repair in Turkish women

Hysteroscopic repair of uterine isthmoceles is advantageous, as it contributes to a shorter operative time and shorter hospital stay. However, complete removal of the isthmocele sac via the abdominal route appears to be more beneficial in terms of live birth rates in future pregnancies. Therefore, we recommend laparoscopic or laparotomic isthmocele repair in patients with fertility desires.