Figure legends:
Figure 1. Hand through the incised isthmocele along the umbilical cord.
Figure 2. Separating the placenta posteriorly with hand and identifying the posterior defect of the uterus and the sheared boundaries of posterior superior (PS) and posterior inferior (PI) muscle layers.
Figure 3. Application of the Green Armytage to posterior superior (PS) and posterior inferior (PI) muscle layers.
Figure 4. Insertion of the left hand index /middle fingers through the cervix to reach the anterior fornix.
Figure 5. Lifting the cervix along the anterior fornix to facilitate identification and grasping of the anterior (AI) muscle at the base of the ischiocele, closer to the internal os, with the Green Armytage.
Figure 6. Application of Green Armytage including at the anterior superior muscle(AS) of the defect to facilitate repair of the anterior and posterior wall defects.