EXPERIENCE OF TRANSVAGINAL EXTRAPERITONEAL APPROACH IN SURGICAL TREATMENT OF UTERINE SCAR LEAK AFTER CAESARIAN SECTION

Aim. A comparative analysis of mertoplasty results for treatment of uterine scar leak by different approaches.Materials and methods. A retrospective analysis of hospital records of 51 patients was made, which were divided into three groups depending on the surgical approach used: group 1 – laparotomy access, group 2 – laparoscopic access, group 3 – transvaginal access. All patients had hysteroscopic and ultrasound signs of uterine scar leak after cesarean section (thickness of the myometrium in the scar area less than 4 mm, discontinuity of the scar). One month after the surgery, all the patients were examined by an obstetrician-gynecologist, all had a control ultrasound to assess the condition of the uterine scar. To assess the reliability of differences between groups, differences were considered significant at p