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RCOG World Congress 2025

June 23 - 25, 2025 | ExCeL London, UK

EP.0593

Laparoscopic Repair of Asymptomatic Caesarean Scar Niche in Fertility Planning

Part of Topic

General gynaecology

Laparoscopic Repair of Asymptomatic Caesarean Scar Niche in Fertility Planning

 

This report details the successful laparoscopic repair of an asymptomatic Caesarean scar niche (CSN) in a woman planning future pregnancies, emphasizing its role in fertility planning.

Discussion

•Caesarean Scar Niche (CSN): A concave defect at the Caesarean scar site
•Complications: Bleeding, dysmenorrhea, subfertility, uterine rupture, scar ectopic pregnancy
•Diagnosis: Transvaginal ultrasound (TVUS)
•Management:
•Conservative for asymptomatic cases
•Surgery for symptomatic cases or pregnancy planning to reduce risks
•Laparoscopic Repair: Minimally invasive, promotes quick recovery and proper scar healing
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