Page 70 - ESHRE2019

Case
• 39 yr old women G1P1 with infertility of 2 year duration
• 1 cesarean
• Basic infertility tests: WNL
• US and SHG: cesarean scar defect
• Management?
Outcome of surgical repair of cesarean scar defect in women with infertility
• 39 yr old women G1P1 with infertility of 2 year duration • IVF failed
Hysteroscopy: pregnancy rate of 77.8% to 100% ; laparoscopy: 55.6%
(Tulandi & Cohen, 2016)
Author/s
Study type
Total No. patients
Procedure
No. pregnancy
Fabres et al. 200523
Retrospective cohort
11
Hysteroscopy
9 (81.8%)
Gubbini et al. 200826
Prospective cohort
9
Hysteroscopy
7 (77.8%)
Gubbini et al. 201127
Prospective cohort
41
Hysteroscopy
41 (100%) 24 months after surgery
Tanimura et al. 2015 29
Prospective cohort
4 18
Hysteroscopy Laparoscopy
4 (100%) 10 (55.6%)
68
65