FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4225897267> ?p ?o ?g. }

• W4225897267 endingPage "1336" @default.
• W4225897267 startingPage "1334" @default.
• W4225897267 abstract "ObjectiveTo present a case of endometriosis within an isthmocele membrane and concomitant diffuse peritoneal endometriosis after cesarean sections. In addition, we describe a unique, color-contrasted surgical repair technique and propose a possible correlation between isthmocele formation and endometriosis.DesignNarrated video article featuring the diagnosis, unique surgical management, and pathological findings of a case of isthmocele endometriosis. Informed consent was obtained from the patient, and all identifiers were removed.SettingUniversity-affiliated hospital.Patient(s)A 44-year-old patient with three prior cesarean sections and a laparoscopic appendectomy, in none of which endometriosis was visualized. She presented with progressive pelvic pain, dysmenorrhea, dyspareunia, and secondary infertility with recurrent embryo transfer failures. The progressively debilitating symptoms started 14 years ago, shortly after her last cesarean section. Magnetic resonance imaging and ultrasound demonstrated a retroverted uterus and a prominent, thin, fluid-filled cesarean scar defect with a residual myometrial thickness of 1.1 mm.Intervention(s)A combined hysteroscopic and laparoscopic approach was performed to allow for complete resection of the defect and reconstruction of the myometrium. The bladder was backfilled with indocyanine green dye to help identify its borders. Methylene blue was added to the hysteroscopy irrigation solution to create contrast and assist with the isthmocele identification. Wide excision of the isthmocele was performed, followed by a three-layer closure and excision of all apparent peritoneal lesions using the Aqua Blue Contrast Technique.Main Outcome Measure(s)Restoration of normal anatomy, resection of isthmocele, and resolution of the symptoms.Result(s)In the pathological assessment, multiple foci of endometriosis were identified within the isthmocele membrane, clearly differentiated from intrauterine endometrial tissue. Additionally, all seven excised peritoneal specimens contained peritoneal endometriosis. Two weeks after the procedure, a transvaginal sonographic scan confirmed a thick anterior uterine wall with a myometrial thickness of 9.2 mm, and the patient reported almost complete resolution of her symptoms.Conclusion(s)This case demonstrates endometriosis within the isthmocele membrane, with concomitant symptomatic peritoneal endometriosis. We propose a laparoscopic isthmocele excision technique and a three-layer reconstruction, followed by peritoneal endometriosis excision using methylene blue contrast. We suggest a possible link between isthmocele and endometriosis and emphasize the need for wide excision of the isthmocele margins and maintaining clean borders, given the possibility of endometriosis within the isthmocele, which may be a cause or a contributor to the tissue weakness and isthmocele formation. To present a case of endometriosis within an isthmocele membrane and concomitant diffuse peritoneal endometriosis after cesarean sections. In addition, we describe a unique, color-contrasted surgical repair technique and propose a possible correlation between isthmocele formation and endometriosis. Narrated video article featuring the diagnosis, unique surgical management, and pathological findings of a case of isthmocele endometriosis. Informed consent was obtained from the patient, and all identifiers were removed. University-affiliated hospital. A 44-year-old patient with three prior cesarean sections and a laparoscopic appendectomy, in none of which endometriosis was visualized. She presented with progressive pelvic pain, dysmenorrhea, dyspareunia, and secondary infertility with recurrent embryo transfer failures. The progressively debilitating symptoms started 14 years ago, shortly after her last cesarean section. Magnetic resonance imaging and ultrasound demonstrated a retroverted uterus and a prominent, thin, fluid-filled cesarean scar defect with a residual myometrial thickness of 1.1 mm. A combined hysteroscopic and laparoscopic approach was performed to allow for complete resection of the defect and reconstruction of the myometrium. The bladder was backfilled with indocyanine green dye to help identify its borders. Methylene blue was added to the hysteroscopy irrigation solution to create contrast and assist with the isthmocele identification. Wide excision of the isthmocele was performed, followed by a three-layer closure and excision of all apparent peritoneal lesions using the Aqua Blue Contrast Technique. Restoration of normal anatomy, resection of isthmocele, and resolution of the symptoms. In the pathological assessment, multiple foci of endometriosis were identified within the isthmocele membrane, clearly differentiated from intrauterine endometrial tissue. Additionally, all seven excised peritoneal specimens contained peritoneal endometriosis. Two weeks after the procedure, a transvaginal sonographic scan confirmed a thick anterior uterine wall with a myometrial thickness of 9.2 mm, and the patient reported almost complete resolution of her symptoms. This case demonstrates endometriosis within the isthmocele membrane, with concomitant symptomatic peritoneal endometriosis. We propose a laparoscopic isthmocele excision technique and a three-layer reconstruction, followed by peritoneal endometriosis excision using methylene blue contrast. We suggest a possible link between isthmocele and endometriosis and emphasize the need for wide excision of the isthmocele margins and maintaining clean borders, given the possibility of endometriosis within the isthmocele, which may be a cause or a contributor to the tissue weakness and isthmocele formation." @default.
• W4225897267 created "2022-05-05" @default.
• W4225897267 creator A5004570670 @default.
• W4225897267 creator A5019078116 @default.
• W4225897267 creator A5049272011 @default.
• W4225897267 creator A5065507753 @default.
• W4225897267 creator A5079209086 @default.
• W4225897267 date "2022-06-01" @default.
• W4225897267 modified "2023-10-02" @default.
• W4225897267 title "Isthmocele endometriosis: the relationship between cesarean section and endometriosis" @default.
• W4225897267 cites W2468467414 @default.
• W4225897267 cites W2520041523 @default.
• W4225897267 cites W2553671593 @default.
• W4225897267 cites W3003420374 @default.
• W4225897267 doi "https://doi.org/10.1016/j.fertnstert.2022.02.024" @default.
• W4225897267 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35437146" @default.
• W4225897267 hasPublicationYear "2022" @default.
• W4225897267 type Work @default.
• W4225897267 citedByCount "3" @default.
• W4225897267 countsByYear W42258972672022 @default.
• W4225897267 countsByYear W42258972672023 @default.
• W4225897267 crossrefType "journal-article" @default.
• W4225897267 hasAuthorship W4225897267A5004570670 @default.
• W4225897267 hasAuthorship W4225897267A5019078116 @default.
• W4225897267 hasAuthorship W4225897267A5049272011 @default.
• W4225897267 hasAuthorship W4225897267A5065507753 @default.
• W4225897267 hasAuthorship W4225897267A5079209086 @default.
• W4225897267 hasBestOaLocation W42258972671 @default.
• W4225897267 hasConcept C126838900 @default.
• W4225897267 hasConcept C141071460 @default.
• W4225897267 hasConcept C143409427 @default.
• W4225897267 hasConcept C2775963564 @default.
• W4225897267 hasConcept C2779522080 @default.
• W4225897267 hasConcept C2780047204 @default.
• W4225897267 hasConcept C2780136519 @default.
• W4225897267 hasConcept C29456083 @default.
• W4225897267 hasConcept C71924100 @default.
• W4225897267 hasConceptScore W4225897267C126838900 @default.
• W4225897267 hasConceptScore W4225897267C141071460 @default.
• W4225897267 hasConceptScore W4225897267C143409427 @default.
• W4225897267 hasConceptScore W4225897267C2775963564 @default.
• W4225897267 hasConceptScore W4225897267C2779522080 @default.
• W4225897267 hasConceptScore W4225897267C2780047204 @default.
• W4225897267 hasConceptScore W4225897267C2780136519 @default.
• W4225897267 hasConceptScore W4225897267C29456083 @default.
• W4225897267 hasConceptScore W4225897267C71924100 @default.
• W4225897267 hasIssue "6" @default.
• W4225897267 hasLocation W42258972671 @default.
• W4225897267 hasLocation W42258972672 @default.
• W4225897267 hasOpenAccess W4225897267 @default.
• W4225897267 hasPrimaryLocation W42258972671 @default.
• W4225897267 hasRelatedWork W116765440 @default.
• W4225897267 hasRelatedWork W2368375822 @default.
• W4225897267 hasRelatedWork W2396486757 @default.
• W4225897267 hasRelatedWork W2409503582 @default.
• W4225897267 hasRelatedWork W2412854030 @default.
• W4225897267 hasRelatedWork W3035101280 @default.
• W4225897267 hasRelatedWork W3107132803 @default.
• W4225897267 hasRelatedWork W3176947561 @default.
• W4225897267 hasRelatedWork W4229073280 @default.
• W4225897267 hasRelatedWork W4247693892 @default.
• W4225897267 hasVolume "117" @default.
• W4225897267 isParatext "false" @default.
• W4225897267 isRetracted "false" @default.
• W4225897267 workType "article" @default.