The Journal of Minimally Invasive Gynaecology (JMIG), the most renowned scientific publication in the world in the area of gynaecological laparoscopy, has just published, in its annual edition, an article and a video by the team under the coordination of António Setúbal , the director of the Department of Gynaecology from Hospital da Luz Lisboa, where a demonstration is made of the surgical technique used there to treat uterine isthmocele, a disease affecting women that had caesarean sections. This work, with the participation of doctors Filipa Osório , João Alves and Zacharoula Sidiropoulou, besides António Setúbal, was produced at the invitation of the JMIG publishers, considering the experience of this Hospital da Luz team in this kind of intervention. The isthmocele is a pathology that can occur around the scar of the incision made during a caesarean section. In these cases, the wall of the uterus is no longer intact, forming a kind of a pouch that acts as a blood reservoir during menstruation – and which can cause, ultimately, infertility or even uterine rupture. Not being a pathology with frequent surgical indication, António Setúbal was the first to apply this technique in Portugal, through laparoscopic surgery. “The defects of uterine scar healing after caesarean section have generated in recent years this new type of pathology”, explains the gynaecologist, who already in 2017 had published an article of scientific revision on this topic, also in JMIG, where he proposed the term ‘isthmocele’ to identify this pathology, since there were different designations until then. “The proposal was afterwards internationally accepted”, he adds. Demonstration of Isthmocele Surgical Repair
