Isthmocele Repair (Laparoscopic)

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 7, 2026

Laparoscopic excision of the defect with multi-layer reconstruction of the uterine muscular wall. Preferred when fertility preservation is desired or when residual myometrial thickness is less than 3 mm. Restores wall integrity for safer future pregnancy and is more likely to resolve bleeding symptoms. Longer recovery than hysteroscopic repair. Combined laparoscopic-hysteroscopic approaches are used for complex cases.¹⁶¹⁵

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