Should Laparoscopy be the Gold Standard for Isthmocele?

Abstract

Isthmocele is born due to the overwhelmingly increasing cesarean section (CS) rates all over the world. It was an unknown entity in the last century. Cesarean sections are and can be responsible for short-and long-term maternal and fetal morbidity, mortality, and financial issues, directly and indirectly associated to the former. Out of the many problems that are caused by CS, isthmocele is a growing surgical concern that needs attention in identifying, diagnosing, managing, and treating this problem. Currently, treatments include medical and surgical approaches. Hysteroscopy as well as laparoscopy are used in the treatment. This review was carried out to show that laparoscopy is superior in treating an isthmocele than all other treatment modalities. Materials and methods:An electronic search was done and various articles and studies were reviewed to support the hypothesis.