Abstract
Objective: The aim of this study was to evaluate laparoscopic niche repair as a safe and therapeutical option for patients with a residual myometrial thickness (RMT) ≤ 3 mm. Study design: This was a retrospective multicenter study of all patients undergoing a laparoscopic niche repair from January 1, 2016 through March 1, 2021. Patient data were obtained from the electronic medical record or provided by the performing surgeon. Results: A total of 13 patients were included in this study. Median follow-up was 5 months. One peroperative complication and no postoperative complications or long-term morbidity were withheld. Median RMT increased from 1.5 ± 1 mm to 5.2 ± 1.7 mm (mean ± SD). Among the patients, 69.2% experienced symptom resolvement. Nine patients had a subsequent successful pregnancy. Conclusion: The laparoscopic niche repair is a safe minimal invasive option for symptomatic patients, able to offer symptom relief. The role for repair in asymptomatic subfertility remains up for debate.