ArticleTherapeutic advances in reproductive health
Robotic-assisted laparoscopic repair of isthmoceles: the feasibility of operative treatment and recommendations for patient selection.
Article in Therapeutic advances in reproductive health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Uterine niches (isthmoceles) are myometrial defects commonly occurring after caesarean sections and may lead to abnormal uterine bleeding, pelvic pain and impaired fertility. Robotic-assisted surgical approaches have emerged as a minimally invasive option for their management, yet data on their efficacy remain limited. Objective: To evaluate the efficacy of robotic-assisted laparoscopic repair of uterine niches in improving clinical symptoms and fertility outcomes. Design: A retrospective observational study conducted at a tertiary university hospital. Methods: All patients who underwent robotic-assisted laparoscopic repair of uterine niches between 2013 and 2023 were included. Preoperative assessments included transvaginal ultrasound and hysterosalpingo-ultrasonography to evaluate residual myometrial thickness (RMT) and niche morphology. The surgical procedure entailed isthmocele resection followed by double-layer myometrial suturing using the Da Vinci Robotic System®. Pre- and postoperative RMT measurements were compared to assess myometrial restoration. Symptom resolution and postoperative fertility outcomes were also evaluated. Results: Fifty-one patients underwent robotic-assisted laparoscopic repair during the study period. The mean RMT significantly increased from 1.75 ± 1.4 mm preoperatively to 4.9 ± 3.4 mm postoperatively ( Conclusion: Robotic-assisted laparoscopic repair was associated with improvement in symptoms related to uterine niches. The technique significantly improves myometrial thickness and supports favourable reproductive outcomes. Further prospective studies are warranted to establish standardised treatment guidelines and assess long-term efficacy. Trial registration: Not applicable.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.