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INTRODUCTION: Inadequate uterine reconstruction resulting in a defective scar. AIMS AND OBJECTIVES: To Illustrate the efficacy of Mesh Metroplasty method to prevent scar rupture during pregnancy. MATERIAL OR METHODS: A 36-year-old primigravida with primary infertility conceived via IVF presented with antepartum hemorrhage at 17 weeks' gestation.MRI revealed a thinned-out fundal uterine scar (8mm) with placenta accreta over a dehiscent scar. She had previously undergone one open and two Laparoscopic adenomyomectomies.Laparoscopic mesh metroplasty was performed as an emergency procedure to prevent imminent fundal scar rupture.Titanized polypropylene dual mesh was laparoscopically fixed over the scar.The postoperative course and the remaining antepartum period were uneventful,highlighting a promising surgical approach. RESULTS: At 36 weeks' gestation, an elective lower segment cesarean section and uterine reconstruction were performed, delivering a healthy male baby weighing 2.6 kg. Intraoperatively, placenta accreta at the uterine fundus was manually removed, and adhesions of bowel and omentum to the posterior uterine surface over the mesh were noted. The uterine fundal defect was repaired with 1-0 vicryl. The postpartum period was uneventful. CONCLUSION: Mesh placement over a uterine scar post-myomectomy or adenomyomectomy is a promising surgical approach to prevent scar rupture during pregnancy.Ideally performed preconceptionally,Laparoscopic Meshplasty during pregnancy is to prevent scar rupture during expansion and stretching of the thinned-out scar.This technique provides a feasible solution for managing thinned-out uterine scars, offering improved maternal and fetal outcomes, particularly in high-risk cases, while maintaining the potential for a successful term pregnancy.