August 2nd, 2021

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Robotic-Assisted Laparoscopic Repair of Symptomatic Cesarean Scar Defect: A Report of Two Cases
Authors:  T. M. Yalcinkaya, M.D., M. Erman Akar, M.D., L. D. Kammire, M.D., E. B. Johnston-MacAnanny, M.D., and H. L. Mertz, M.D.
BACKGROUND: Symptomatic cesarean scar defect is one of the commonly reported long-term complications of cesarean section.
CASES: We present two cases of symptomatic cesarean scar defect treated conservatively by robotic-assisted laparoscopy at our institution. Both patients presented with hematocele, pelvic discomfort and secondary infertility. Transvaginal ultrasound revealed hematocele measuring 3.7x1.9x3.8 cm and 3.0x 2.0x1.6 cm in the lower uterine segments, respectively. After surgery normal menses resumed in both patients, and their childbearing potential was preserved. The patients conceived 3 and 11 months after surgery, respectively.

CONCLUSION: Recognition of cesarean scar defect is important in the explanation of certain menstrual disorders since surgical intervention can result in improvement of symptoms and prevent the related secondary obstetric and gynecologic complications. Robotic-assisted laparoscopic approach is a good minimally invasive alternative for the repair of cesarean scar defect.
Keywords:  cesarean scar defect, cesarean section, robotic-assisted laparoscopic repair
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