{"id":405,"date":"2023-09-21T15:03:07","date_gmt":"2023-09-21T13:03:07","guid":{"rendered":"https:\/\/www.isteroscopia.it\/?page_id=405"},"modified":"2023-11-03T14:42:47","modified_gmt":"2023-11-03T13:42:47","slug":"istmocele-e-istmoplastica-isteroscopica","status":"publish","type":"page","link":"https:\/\/www.isteroscopia.it\/en\/isteroscopia-operativa\/istmocele-e-istmoplastica-isteroscopica\/","title":{"rendered":"Hysterocele and Hysteroscopic Hysteroplasty"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"405\" class=\"elementor elementor-405\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-60124690 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"60124690\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-374cbf2f\" data-id=\"374cbf2f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1739706c elementor-widget elementor-widget-heading\" data-id=\"1739706c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Operative hysteroscopy<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-531d1d0f elementor-widget elementor-widget-heading\" data-id=\"531d1d0f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Histimocele And Hysteroscopic Hysteroplasty<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-35e43e82 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"35e43e82\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1c497638\" data-id=\"1c497638\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-725b46c elementor-widget elementor-widget-spacer\" data-id=\"725b46c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fb3b80b elementor-widget elementor-widget-spacer\" data-id=\"3fb3b80b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-78fd94b1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"78fd94b1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1be07c3c elementor-invisible\" data-id=\"1be07c3c\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-502fa92 elementor-widget elementor-widget-spacer\" data-id=\"502fa92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-650392d7 elementor-widget elementor-widget-text-editor\" data-id=\"650392d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The isthmocele consists of a sacciform dilatation at the level of the cervical canal at the previous caesarean section scar.<\/p><p>Simply put, it is a kind of hernia, a bowl where menstrual blood collects, the stagnation of which causes inflammation and sometimes pelvic pain.<\/p><p>The still blood is then eliminated over the next few days in the form of dark, foul-smelling persistent ooze.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8109f0e elementor-invisible\" data-id=\"8109f0e\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8bc9341 elementor-widget elementor-widget-image\" data-id=\"8bc9341\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"480\" src=\"https:\/\/www.isteroscopia.it\/wp-content\/uploads\/2023\/09\/istmocele-eco.jpg\" class=\"attachment-large size-large wp-image-459\" alt=\"\" srcset=\"https:\/\/www.isteroscopia.it\/wp-content\/uploads\/2023\/09\/istmocele-eco.jpg 640w, https:\/\/www.isteroscopia.it\/wp-content\/uploads\/2023\/09\/istmocele-eco-300x225.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7a9e12e9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a9e12e9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1e5e9417\" data-id=\"1e5e9417\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-672e47cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"672e47cb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-47bd75a9\" data-id=\"47bd75a9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-906acae elementor-widget elementor-widget-heading\" data-id=\"906acae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Symptomatology<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e1acf6c elementor-widget elementor-widget-text-editor\" data-id=\"e1acf6c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The woman suffering from this condition complains of dark bleeding after regular menstruation that lasts up to several days, of a foul odour, and sometimes pelvic pain due to the concomitant inflammation. She may also have difficulty conceiving because the isthmocele may interfere with the migration of sperm through the cervical canal and thus delay fertilisation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-0db26c2 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"0db26c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99fe64a elementor-widget elementor-widget-heading\" data-id=\"99fe64a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Diagnosis<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d857d4 elementor-widget elementor-widget-text-editor\" data-id=\"9d857d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The suspicion is raised at the simple examination, evaluating the symptoms reported by the patient. A transvaginal ultrasound scan shows a roundish, ectopic sac of varying size depending on the size of the isthmus at the level of the cervical canal.<\/p><p>Hysteroscopy, an essential examination for the diagnosis, confirms the presence of the isthmocele, its location, size, the presence of concomitant inflammation, the discharge of dark blood and provides the absolute indication for repair by operative hysteroscopy.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2bc29f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d2bc29f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-670699d elementor-widget elementor-widget-heading\" data-id=\"670699d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Therapy: Hysteroscopic Hysteroplasty<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b3c5d85 elementor-widget elementor-widget-text-editor\" data-id=\"b3c5d85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Under general anaesthesia, the resector is introduced, a wash is established to eliminate residual blood and obtain excellent visibility of the surgical field, and with a thermal oblique loop all the anterior and lateral edges of the isthmus are resected in a clockwise or counterclockwise direction until it is 'flattened' completely, thus considerably reducing the depth of the fovea where the menstrual blood collected and favouring its complete outflow during the following menstruation. The result is guaranteed in more than 80% of cases.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64f644e elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"64f644e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Isteroscopia Operativa Istmocele E Istmoplastica Isteroscopica L&#8217;istmocele consiste in una dilatazione sacciforme a livello del canale cervicale in corrispondenza della pregressa cicatrice da taglio cesareo. In poche parole \u00e8 una specie di ernia, di scodella dove si raccoglie il sangue mestruale, il cui ristagno provoca infiammazione e a volte dolori pelvici. Il sangue fermo viene [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":370,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-405","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dr. Pulcinella Ruggero | Istmocele e Istmoplastica Isteroscopica<\/title>\n<meta name=\"description\" content=\"L\u2019istmocele consiste in una dilatazione sacciforme a livello del canale cervicale in corrispondenza della pregressa cicatrice da taglio cesareo.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.isteroscopia.it\/en\/isteroscopia-operativa\/istmocele-e-istmoplastica-isteroscopica\/\" \/>\n<meta property=\"og:locale\" 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