IVF pregnancy following a novel approach of open surgical repair of a failed laparoscopic approach to a large caesarean scar defect.

Caesarean scar defects (CSDs) are a known complication of caesarean section (C-section) that can influence various reproductive outcomes. These defects are characterised by an indentation at the site of the previous caesarean scar, potentially leading to clinical issues such as abnormal bleeding, pelvic pain and infertility. Here, we report and discuss a case of a woman in her late 30s who presented with a series of complications and subsequently subfertility as a result of her CSD and how she was sequentially managed. Following open repair of her CSD with a novel modified myometrial repair technique, she managed to conceive through in vitro fertilisation techniques and delivered uneventfully via elective repeat C-section at term.