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Journal articles on the topic 'Uterine scar'

Author: Grafiati

Published: 28 May 2022

Last updated: 30 July 2025

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1

Enverovna, Kurbaniyazova Venera. "UTERINE SCAR AND REPEAT PREGNANCY." European International Journal of Multidisciplinary Research and Management Studies 4, no. 4 (2024): 151–57. http://dx.doi.org/10.55640/eijmrms-04-04-24.

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According to the Ministry of Health for 2022, we registered 932.2 thousand births, which is the highest figure since independence. The total fertility rate (number of births per 1,000 inhabitants) was 26.2 –in 2022, which falls into the category of countries with a “moderately high” fertility rate. The purpose of the study was to assess the condition of the postoperative scar in women who underwent cesarean section. The study is based on a clinical and laboratory examination of 103 women of reproductive age with a history of one uterine scar, who was under observation in the department of Obst

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2

MacLean, A. B. "Uterine scar defects." Journal of Obstetrics and Gynaecology 31, no. 5 (2011): 365. http://dx.doi.org/10.3109/01443615.2011.582403.

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3

Spong, Catherine Y., and John T. Queenan. "Uterine Scar Assessment." Obstetrics & Gynecology 117, no. 3 (2011): 521–22. http://dx.doi.org/10.1097/aog.0b013e31820ce593.

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4

Savukyne, Egle, Egle Machtejeviene, Saulius Paskauskas, Gitana Ramoniene, and Ruta Jolanta Nadisauskiene. "Transvaginal Sonographic Evaluation of Cesarean Section Scar Niche in Pregnancy: A Prospective Longitudinal Study." Medicina 57, no. 10 (2021): 1091. http://dx.doi.org/10.3390/medicina57101091.

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Background and Objectives: To investigate the prevalence of a Cesarean section (CS) scar niche during pregnancy, assessed by transvaginal ultrasound imaging, and to relate scar measurements, demographic and obstetric variables to the niche evolution and final pregnancy outcome. Materials and Methods: In this prospective observational study, we used transvaginal sonography to examine the uterine scars of 122 women at 11+0–13+6, 18+0–20+6 and 32+0–35+6 weeks of gestation. A scar was defined as visible on pregnant status when the area of hypoechogenic myometrial discontinuity of the lower uterine

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Abdel-Rahman, Ahmed Morsy Saad, and Tamer Mahmoud zaki Hassanin. "Transvaginal Ultrasound Evaluation Of Cesarean Section Niche Scar During Pregnancy: A Prospective Longitudinal Study." International Journal of Membrane Science and Technology 10, no. 2 (2023): 1804–13. http://dx.doi.org/10.15379/ijmst.v10i2.2659.

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Background and Objectives: To determine the prevalence of a CS scar niche during pregnancy using transvaginal ultrasound imaging, and to determine the relationship between the evolution of the CS scar niche and the ultimate pregnancy result. Materials and Methods: Transvaginal sonography was used in this prospective observational research to look at the uterine scars of 100 women at 11+0-13+6, 18+0-20+6 and 32+0-35+6 weeks of pregnancy. When the region of hypoechogenic myometrial discontinuity of the lower uterine section was discovered, a scar was discernible while pregnant. An indentation at

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6

Khasanov, A. A. "Diagnosis, prevention and organ-preserving method of delivery in pregnant women with placenta accreta." Kazan medical journal 97, no. 4 (2016): 477–85. http://dx.doi.org/10.17750/kmj2015-477.

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The article considers one of the causes of maternal mortality - uterine postpartum bleeding developing as a result of the placental growth into the uterus and surrounding organs. It is highlighted that the processes of trophoblast invasion during pregnancy and tumor progression have much in common. The article describes a significant role of Kiss1-gene and its receptor GPR54 in the placenta accreta development. The causes of placental abnormalities and conventional methods of treatment and surgical management in placenta accreta (controlled uterine balloon tamponade, uterine vessels ligation,

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7

Felis S. "Uterine rupture." American Journal of Medical and Clinical Research & Reviews 02, no. 11 (2023): 01–07. http://dx.doi.org/10.58372/2835-6276.1103.

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The increasing rate of elective and indicated caesarean sections worldwide has led to new pathologies and management challenges. The number of patients undergoing trial of labor after caesarean section (TOLAC) is also increasing. Three professional societies provide detailed guidelines based on scientific evidence for the management of patients attempting vaginal birth after caesarean section (VBAC). However, they do not provide any recommendations for the actual surgical steps to be followed to minimize the risks of uterine rupture (UR) during TOLAC. Uterine scar condition, intrapartum manage

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8

Enverovna, Kurbaniyazova Venera. "REHABILITATION OF PATIENTS WITH UTERINE SCAR." International Journal of Medical Sciences And Clinical Research 4, no. 4 (2024): 43–49. http://dx.doi.org/10.37547/ijmscr/volume04issue04-06.

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CS often has a certain impact on the subsequent reproductive activity of women: infertility, miscarriage, spontaneous abortion, and menstrual irregularities. In addition, a CS cannot always ensure the birth of a healthy child. Thus, in late pregnancy, infectious diseases of the mother, severe hypoxia, and especially in cases of very early premature birth, the health of the unborn child depends on many factors. The goal of the work optimize rehabilitation methods in the postoperative period.

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9

Panina, O. B., Kh B. Balashova, L. N. Shcherbakova, and A. E. Bugerenko. "Laparoscopic metroplasty for uterine scar defect after cesarean section." Voprosy ginekologii, akušerstva i perinatologii 21, no. 4 (2022): 126–32. http://dx.doi.org/10.20953/1726-1678-2022-4-126-132.

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The number of births among patients with uterine scar defect after cesarean section is increasing worldwide. To reduce complications during pregnancy, these patients undergo surgical correction of uterine scar defect – metroplasty, which is performed in the preconception period by laparotomy, laparoscopy, and the vaginal route. Objective. To analyze the literature on the effectiveness of metroplasty for uterine scar defect after cesarean section. Conclusion. It is necessary to search for new cellular products that can initiate and sustain differentiation of myofibroblasts, block the processes

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10

Bozhenkov, K. A., T. A. Gustovarova, A. N. Ivanyan, V. L. Vinogradov, and E. M. Shifman. "EPIDURAL ANALGESIA DURING VAGINAL DELIVERY AT THE WOMEN WITH THE UTERINE SCAR. IS IT RISKY? POSSIBLE? NECESSARY?" Regional Anesthesia and Acute Pain Management 11, no. 3 (2017): 182–88. http://dx.doi.org/10.18821/1993-6508-2017-11-3-182-188.

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This paper will be concerned with the results of a prospective controlled longitudinal study which has involved 132 secundiparae (among them 69 patients are with the uterine scar after cesarean section). The parturient women have been divided into 3 groups. Group “A” includes 38 women with the uterine scar after cesarean section, in this group epidural analgesia was administered during vaginal delivery. Group “B” includes 32 secundiparae without uterine scar, in this group epidural analgesia was administered during vaginal delivery. Group “C” - 31 women with the uterine scar, no epidural analg

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11

Torobaeva, M. T., S. N. Buyanova, L. S. Logutova, S. A. Petrakova, and N. V. Yudina. "Causes of development, clinical picture of ectopic pregnancy in the “niche” of the uterine scar after cesarean section." Russian Bulletin of Obstetrician-Gynecologist 25, no. 3 (2025): 57. https://doi.org/10.17116/rosakush20252503157.

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Objective. To determine the risk factors for the development of ectopic pregnancy in the uterine scar “niche” (URN) after cesarean section (CS). Material and methods. Factor analysis of pregnancy in the uterine scar “niche” after CS in 43 patients (main group) was carried out within the framework of the study. The control group consisted of 37 patients with pregnancy in the uterine cavity (n=15) and patients (n=22) with a post-CS uterine scar without signs of anatomical failure. Results. A high risk of pregnancy formation in the uterine scar “niche” was found in 33-37 years old patients with a

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12

Igitova, M. B., K. V. Dmitrienko, V. A. Borovkov, and Yu N. Nesterov. "Clinicopathological features of gestation course associated with uterine scar dehiscence in women with a past medical history of a single caesarean section." Fundamental and Clinical Medicine 8, no. 3 (2023): 37–43. http://dx.doi.org/10.23946/2500-0764-2023-8-3-37-43.

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Aim. To compare the clinicopathological features, the course of pregnancy and its outcomes with the results of histological examination of the uterine scar in women with a past medical history of a single caesarean section.Materials and Methods. We analysed the associations between histological features of scarred myometrium and clinicopathological parameters of 48 pregnant women aged 19 to 40 years with a past medical history of a single caesarean section. All women were divided into two groups depending on the uterine scar condition. Tissue sampling for histological examination was performed

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13

Bakavičiūtė, Greta, Sabina Špiliauskaitė, Audronė Meškauskienė, and Diana Ramašauskaitė. "Laparoscopic repair of the uterine scar defect – successful treatment of secondary infertility: a case report and literature review." Acta medica Lituanica 23, no. 4 (2017): 227–321. http://dx.doi.org/10.6001/actamedica.v23i4.3424.

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Background. The aim of this paper is to present a clinical case of laparoscopic repair of a uterine scar defect, to assess the effectiveness of treatment reviewing the latest literature sources, and to provide recommendations of uterine scar defect management. Materials and methods. We report the case of a 33-year-old woman with an insufficient uterine scar and one-year history of secondary infertility. Following this, she underwent corrective laparoscopic repair, successfully got pregnant two months later and carried pregnancy to full term. We discuss the prevalence of caesarean scar defects,

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14

Kuznetsova, Natalya B., Gulmira M. Ilуasova, Irina O. Bushtyreva, Natalia G. Pavlova, and Alexander E. Shatalov. "Prospects for increasing the chances of successful vaginal delivery in women with a scar on the uterus after cesarean section." Pediatrician (St. Petersburg) 15, no. 3 (2024): 57–64. http://dx.doi.org/10.17816/ped15357-64.

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The review is devoted to one of the pressing problems of modern obstetrics — the delivery of women with a uterine scar after cesarean section. A scar on the uterus can cause various complications during pregnancy and childbirth. One of the main problems is scar failure. Pregnant women with a uterine scar, even after one cesarean section, should be considered at high risk for the development of complications. Visual diagnostic methods, such as ultrasound, magnetic resonance imaging, can only detect anatomical defects. Predicting the viability of a uterine scar is based, first of all, on a thoro

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15

Grigoryants, A. A., V. V. Avrutskaya, I. I. Krukier, and D. V. Aksenenko. "The effectiveness of surgical and conservative treatment of patients with endometriosis of the uterine scar after cesarean section." Medical alphabet, no. 19 (November 1, 2024): 28–32. http://dx.doi.org/10.33667/2078-5631-2024-19-28-32.

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Target. To analyze the effectiveness of surgical and conservative treatment of patients with an incompetent uterine scar and endometriosis in the scar after cesarean section.Materials and methods of research. A retrospective analysis of 64 medical records of patients with a uterine scar and endometriosis in the scar for the period from 2021 to 2023 was carried out at the medical center, which is the clinical base of the Department of Obstetrics and Gynecology No. 2 of the Stavropol State Medical University.Results. The analysis showed the high effectiveness of surgical treatment of patients in

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16

Jagtap, Sunil V., Nitin Kshirsagar, and Ramnik Singh. "Cesarean Scar Ectopic Pregnancy." International Journal of Health Sciences and Research 11, no. 5 (2021): 358–61. http://dx.doi.org/10.52403/ijhsr.20210556.

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Caesarean Scar Ectopic Pregnancy (CSEP) is one of the rarest forms of ectopic pregnancy. We present a 30 year female presented with 8 weeks of amenorrhea. Her obstetric history was G3P2D2. Her B HCG levels were >10,000 IU/L. She had history of previous 2 lower uterine segment Caesarean section. She was referred to our hospital in stage of severe hypovolemic shock related to vaginal bleeding. USG findings were suggestive of death of fetus of about 6 weeks 5 days. Gestational -sac at lower uterine segment Caesarean section scar level. Radiological diagnosis was? Scar pregnancy. On histopathol

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17

Pario, Saba, Sanober Omer, Sughra Abbasi, Anam Pario, Sadia Suboohi, and Ramla Javed Baig. "Ultrasound Assessment of Cesarean Section Scar and its Correlation to Intraoperative Scar Status." Pakistan Journal of Medical and Health Sciences 16, no. 10 (2022): 942–45. http://dx.doi.org/10.53350/pjmhs221610942.

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Background and Aim: In the past decades the rate of cesarean sections has increased enormously, there are many indications for cesarean section like placenta previa, labor dystocia, presumed fetal distress, fetal malpresentation, multiple gestation, and suspected fetal macrosomia, but the commonest reason for performing a cesarean is a previous cesarean birth .The present study aimed to compare the sonographically measured lower uterine scar with actual status of scar at the time of operation. Methodology: The descriptive cross-sectional study was conducted on 150 female patients who presented

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18

Asif, Fiza, Sobia Zafar, Tehmina Zafar, Tayyaba Majeed, and Zahid Mahmood. "Diagnostic Accuracy of Lower Uterine Segment Scar Thickness ≤1.6mm in Prediction of Scar Dehiscence in patients." Pakistan Journal of Medical and Health Sciences 15, no. 10 (2021): 2682–84. http://dx.doi.org/10.53350/pjmhs2115102682.

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Background: Cesarean section uterine scar dehiscence (CSD) is a rare but notable complication of Lower segment cesarean section (LSCS) surgery. The cause for a uterine scar dehiscence is based on the etiology behind the uterine scar defect or any event that would predispose the cesarean scar to dehisce. Globally accepted option for assessing the CS scar is transvaginal ultrasonography of the non-pregnant uterus. Objective: To determine the diagnostic accuracy of lower uterine segment scar thickness≤1.6mm in the prediction of scar dehiscence in patients with previous one LSCS who are undergoing

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19

Pansota, Mubasher Saeed, Aisha Ajmal, and Bushra Sher Zaman. "RUPTURE OF UTERUS (FUNDUS)." Professional Medical Journal 23, no. 01 (2016): 114–17. http://dx.doi.org/10.29309/tpmj/2016.23.01.847.

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Rupture of a gravid uterus is a surgical emergency. Predisposing factorsinclude a scarred uterus. Spontaneous rupture of an unscarred uterus during pregnancy is arare occurrence. We hereby present the case of a spontaneous complete uterine rupture at agestational age of 35 weeks 01 day in a 25 years old patient. The case was managed at theCivil Hospital Bahawalpur. She had past history of one uterine curettage for endometrial polypone year back. She presented with mild abdominal pains of sudden onset. After conservativemanagement for 10 hours in hospital she suddenly developed severe abdominal

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20

Shchepelev, Mikhail E., Tatyana V. Deripasko, Anastasiya A. Sidorova, et al. "A CLINICAL CASE OF AN UNDEVELOPED PREGNANCY IN A UTERINE SCAR AFTER A CESAREAN SECTION." Acta medica Eurasica, no. 3 (September 30, 2021): 26–34. http://dx.doi.org/10.47026/2413-4864-2021-3-26-34.

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Over the past twenty-five years, the average age of a woman giving birth to the first child has grown significantly around the world. So, in Russia, currently, women begin to bring their reproductive function into action on average at the age of 26-35. This leads to the fact that obstetricians and gynecologists in their practice increasingly face with pregnancy and childbirth complicated by a uterine scar after a previous cesarean section or myomectomy. The formation of a uterine scar after any intervention entails the likelihood of long-term complications, such as a rupture of the uterus alon

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21

Lad, Shobha Lalit, Chaya Chourasia, and Pavan Gulhane. "Transvaginal sonographic diagnosis of caesarean scar ectopic pregnancy: A case report." Indian Journal of Obstetrics and Gynecology Research 11, no. 1 (2024): 105–7. http://dx.doi.org/10.18231/j.ijogr.2024.020.

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We report a case of scar ectopic pregnancy which is the rarest type of all ectopic pregnancies. We need to diagnose & treat this condition in the early weeks of pregnancy to avoid the complication. This case of Caesarean scar ectopic pregnancy (CSEP) was diagnosed during an antenatal ultrasound scan, at six weeks of pregnancy. An ultrasound scan of this case revealed the gestation sac in the lower uterine segment at the previous caesarean scar.

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NESTEROV, V. F., G. B. MALYGINA, and N. V. KOSOVTSOVA. "Efficacy of shear wave elastography in assessing uterine scar after cesarean section." Practical medicine 22, no. 6 (2024): 54–60. https://doi.org/10.32000/2072-1757-2024-6-54-60.

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A scar on the uterus is a central problem of modern obstetrics. The use of shear wave elastography makes it possible to determine the elasticity of the scar tissue on the uterus and its adequacy. The purpose — to evaluate the efficiency of using ultrasonic shear wave elastography in diagnosing the condition of the uterine scar from a caesarean section (CS). Material and methods. The study included 63 pregnant women with an uterine scar from a caesarean section, who were divided into 2 groups according to the intraoperative state of the scar: group 1 (main group) — 19 patients with an «inferior

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Nozhnitseva, Olga N., and Vitaliy F. Bezhenar. "The niche in the uterine cesarean scar: a new problem of women’s reproductive health." Journal of obstetrics and women's diseases 69, no. 1 (2020): 53–62. http://dx.doi.org/10.17816/jowd69153-62.

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Hypothesis/aims of study. In the recent decades, the quality of uterine suture repair after a cesarean section is widely discussed, as local thinning of the myometrium forming uterine scar defects, or the so-called scar niche, are relatively common after the operation. The aim of this study was to identify the causes of local thinning of the uterine scar after cesarean section, to determine the effectiveness of existing methods for assessing the uterine scar in non-pregnant women, and to develop a method for surgical correction of this pathology. Study design, materials and methods. Over

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Leelapalli, Anusha, and Barsha Priyadarshinee. "Ultrasound evaluation of caesarean section uterine scar and its correlation to intraoperative scar thickness." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 13, no. 10 (2024): 2730–36. http://dx.doi.org/10.18203/2320-1770.ijrcog20242803.

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Background: The number of caesarean sections performed has skyrocketed in recent decades. The most frequent indication for a caesarean section is a previous caesarean birth. The goal of the current study was to compare the lower uterine scar thickness in pregnant with history of previous caesarean delivery as determined by sonography with the actual scar condition at the time of surgery. Methods: The study involved 100 pregnant women between gestational age of 35 completed weeks and 38 weeks with history of previous caesarean delivery and were attended to OPD for antenatal checkups in the depa

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Kogan, O. M., N. B. Voytenko, E. A. Zosimova, E. N. Martynova, D. M. Nersesayn, and A. A. Bubnikovich. "Algorithm for the management of patients with incompetence of postoperative uterine scar after a cesarean section, our clinical experience." Journal of Clinical Practice 9, no. 3 (2018): 38–43. http://dx.doi.org/10.17816/clinpract09338-43.

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The growth of the cesarean section frequency has created a new healthcare problem – follow up of pregnancy in women with a uterine scar. The pregnancy course in the case of an incompetent uterine scar poses risks of not only a premature labor, but also of a uterine rupture during the entire gestation. Currently, the issues of the diagnostics and reconstructive surgery for an incompetent uterine scar after a cesarean section when planning a pregnancy remain understudied.

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Shi, Liang, and Keke Du. "Prediction of Scar Myometrium Thickness and Previous Cesarean Scar Defect Using the Three-Dimensional Vaginal Ultrasound." Contrast Media & Molecular Imaging 2022 (October 5, 2022): 1–8. http://dx.doi.org/10.1155/2022/3584572.

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This research aimed to explore the related factors of scar myometrial thickness and scar diverticulum formation and then predict the occurrence of uterine diverticula. 140 patients with cesarean section were selected as the research objects. According to the three-dimensional (3D) vaginal ultrasound echo and the diagnostic criteria of uterine diverticulum, the research objects were divided into a diverticulum group and a control group, with 70 cases in each group. Data such as age, number of cesarean sections, endometrial thickness, uterine position, and diverticulum size was collected, and th

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Milovanov, A. P., L. M. Mikhaleva, T. V. Fokina, N. B. Tikhonova, and А. А. Аkhmetshina. "Unified pathogenesis of unstable scars after the first cesarean section and severe complications in subsequent pregnancies." CLINICAL AND EXPERIMENTAL MORPHOLOGY 14, no. 1 (2025): 68–76. https://doi.org/10.31088/cem2025.14.1.68-76.

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The increased number of cesarean sections worldwide has triggered the appearance of new iatrogenic complications, such as unstable scars and atypical placental positions with villi invading the scar. Unlike rapid physiological regeneration of the endometrium during menstrual cycle, the iatrogenic scar after dipnoous incision of the uterine wall forms slowly, undergoing the stage of hypoechoic niche in the lower uterine segment with characteristic symptoms of the cesarian scar defect. Myotomy results in an unstable scar in the interconception period that differs from the stable one by excessive

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Chen, Bingya, Linling Zhu, Xinyun Yang, Wenwen Wang, and Xinmei Zhang. "Endometriotic Lesions on Uterine Scar." Journal of Minimally Invasive Gynecology 28, no. 8 (2021): 1438–39. http://dx.doi.org/10.1016/j.jmig.2021.03.004.

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Darwish, Atef M., Ahmed M. Nasr, and Diaa A. El-Nashar. "Evaluation of postmyomectomy uterine scar." Journal of Clinical Ultrasound 33, no. 4 (2005): 181–86. http://dx.doi.org/10.1002/jcu.20106.

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Goenka, Smita, Madhuri Gawande, Sulbha Joshi, and Chetna Ratnaparkhi. "Uterine arteriovenous malformation secondary to scar pregnancy." Panacea Journal of Medical Sciences 7, no. 2 (2017): 104–6. https://doi.org/10.18231/2348-7682.2017.0028.

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Uterine arteriovenous(AV) malformations resulting in abnormal uterine bleeding is relatively rare condition. It can be congenital or acquired. Acquired AV malformation is usually secondary to trauma, pregnancy or malignancy. The mainstay of management is uterine artery embolization or definitive surgery. We report a case of AV malformation in lower uterine segment secondary to previous ruptured scar pregnancy. The condition was diagnosed by Doppler ultrasound and confirmed by MR angiography. Our subject opted for hysterectomy over uterine artery embolization. The clinical findings were confirm

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Mehwish, Samina Jadoon, Hemasa Gul, and Nayab Hakim. "Frequency of Uterine Scar Dehiscence in Women with Previous One Cesarean Section." Indus Journal of Bioscience Research 3, no. 2 (2025): 239–44. https://doi.org/10.70749/ijbr.v3i2.656.

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Background: Uterine scar dehiscence is a significant complication in women with a history of cesarean section, with implications for maternal and fetal health. Identifying risk factors and early detection is crucial for improving outcomes. While various demographic and clinical factors have been implicated, the association between maternal age, gestational age, parity, and hypertension with uterine scar dehiscence has not been fully explored in the local population. Objective: To determine the frequency of uterine scar dehiscence in women with previous one cesarean section. Study Design: Cross

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Eleje, George Uchenna, Gerald Okanandu Udigwe, Chigozie Geoffrey Okafor, et al. "Intra-operative Diagnosis of Lower Segment Scar Dehiscence in a Second Gravida After One Previous Lower Segment Cesarean Section: Should We Advocate for Routine Antenatal Uterine Scar Thickness Testing?" Clinical Medicine Insights: Case Reports 16 (January 2023): 117954762311643. http://dx.doi.org/10.1177/11795476231164379.

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Background: Uterine dehiscence is a separation of uterine musculature with intact uterine serosa. It can be encountered at the time of cesarean delivery, suspected on obstetric ultrasound or diagnosed in-between pregnancies. The antenatal diagnosis may occasionally elude the Obstetricians. This particular case demonstrates an intra-operative diagnosis of uterine dehiscence with missed antenatal ultrasound diagnosis in an asymptomatic woman. Case presentation: She was a 32-year-old Nigerian second gravida who booked for antenatal care at 32 weeks of gestation following a referral from her atten

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Boussif, M., S. A. Oudaet Allah, Ma Nouri, et al. "Radiologic Insights into Post-Cesarean Uterine Scar Dehiscence: A Critical Postpartum Complication." Scholars Journal of Medical Case Reports 13, no. 05 (2025): 944–46. https://doi.org/10.36347/sjmcr.2025.v13i05.042.

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Uterine scar dehiscence may complicate cesarean sections, potentially leading to severe complications such as postpartum hemorrhage, endomyometritis, localized or generalized peritonitis, and sepsis. We report the case of a 20-year-old woman with an abdominal wound infection following a lower segment cesarean section (LSCS) and exhibited clinical signs of sepsis. This wound infection was, in fact, a manifestation of uterine scar dehiscence coupled with localized peritonitis. The incidence of uterine scar dehiscence is approximately 0.6%. Peritonitis resulting from necrosis at the uterine incis

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Carlo, Alovisi, Amadori Roberta, Alovisi Carlotta, and Surico Daniela. "Robson's class and caesarean scar defects." International Journal of Reproductive Medicine and Sexual Health 1, no. 1 (2019): 01–07. https://doi.org/10.36811/ijrmsh.2019.110001.

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 Caesarean scar defect (CSD) may lead to the occurrence of gynecologic symptoms such as abnormal uterine bleeding secondary to intermittent passage of retained menstrual blood within the CSD pelvic pain, and infertility. This prospective cohort study was conducted at the Department of Obstetrics at Maria Vittoria Hospital in Turin (Italy), from January 2013 to December 2013 to analyze the effects of two different suturing techniques (single layer and double layer closure of the hysterotomy) and Robson's class impact on the incidence of CSD. All procedures were performed using a modifi

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DIOUF, A., M. GUEYE, GUEYE MD NDIAYE, et al. "Predictive factors of Uterine Rupture." International Journal of Reproductive Medicine and Sexual Health 2, no. 1 (2020): 01–05. https://doi.org/10.36811/ijrmsh.2020.110007.

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<strong>Objectives:</strong> To assess the frequency and predictive factors of uterine rupture on no-scar uterus and on scarred uterus in an intermediate level health hospital in Dakar. <strong>Method of study:</strong> This retrospective was carried out by the Philippe Maguilen Senghor Health Center in Yoff (Dakar) during the period from January 1, 2011 to December 31, 2017. It included all the women who gave birth there'' a single pregnancy after 22 weeks of amenorrhea with a longitudinal fetal presentation or admitted after childbirth. We had studied socio-demographic char

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VC, Veena, and Narmadha NS. "A Case Report on Silent Scar Dehiscence in a Patient with Previous Transverse Cesarean Section." Indian Journal of Obstetrics and Gynecology 9, no. 2 (2021): 45–47. http://dx.doi.org/10.21088/ijog.2321.1636.9221.7.

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Introduction: Cesarean section is the delivery of an infant (live or dead) through an abdominal incision after the period of viability. An incomplete uterine rupture, also referred to as uterine dehiscence, is defined as a clinically occult and incomplete disruption that does not lead to any serious neonatal or maternal consequences. Case report: This is a case report of a pregnant women with previous 1 cesarean section, with silent scar dehiscence found accidental on repeat cesarean section, and its successful management during the procedure. Conclusion: Uterine scar dehiscence when detected

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Esetov, M. A., and A. N. Kallaeva. "Prognostic value of ultrasound measurement of the lower uterine segment during pregnancy in women with a scar after cesarean section: literature review." Ultrasound & Functional Diagnostics 31, no. 2 (2025): 57–66. https://doi.org/10.24835/1607-0771-308.

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The article presents a review of literature focusing on the measurement of the lower uterine segment in pregnant women with a uterine scar in order to predict the risk of uterine rupture. The results of the review demonstrated heterogeneity among studies and the absence of an agreed threshold for lower segment thickness, which makes predicting the risk of uterine rupture based on lower segment measurements in women with a uterine scar uncertain and unreasonable.

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Săndulescu, Maria Sidonia, Magdalena Manolea, Florentina Tănase, and Andreea Velișcu. "Assessment of the uterine uterine scar after caesarean section." Perinatologia 4, no. 1 (2017): 163. http://dx.doi.org/10.26416/peri.1.4.2017.1428.

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Sharma, Chirag, and Hina Patel. "Uterine Rupture: A Distressing Catalyst for Severe Postpartum Hemorrhage." Scholars Journal of Medical Case Reports 12, no. 02 (2024): 140–42. http://dx.doi.org/10.36347/sjmcr.2024.v12i02.004.

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Uterine rupture is a disruption of the uterine scar, causing foetal expulsion into the peritoneal cavity. This condition, primarily caused by the separation of uterine scar tissue from previous caesarean surgery, reduces foetal survival and increases maternal morbidity and mortality. A 32-year-old woman with a history of four vaginal deliveries and one caesarean section was diagnosed with uterine rupture, leading to a laparotomy procedure and obstetric hysterectomy. Consistent antenatal care can prevent uterine rupture.

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Mikhelson, A. A., Yu A. Semenov, M. V. Lazukina, N. V. Kosovtsova, D. V. Pogorelko, and M. I. Telyakova. "A new approach to the diagnosis and surgical treatment of uterine scar defect after cesarean section." Bulletin of maternal and child care 1, no. 2 (2024): 45–53. http://dx.doi.org/10.69964/bmcc-2024-1-2-45-53.

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Introduction. An increase in the number of cesarean sections in the world leads to an increase in cases of formation of scar defects on the uterus, which requires attention and the use of new diagnostic and treatment methods. Studying the healing processes of the myometrium is key to preventing the formation of a uterine scar defect, and improvements in diagnostic methods and surgical techniques can reduce the risk of recurrence of a uterine scar defect.Purpose of the study. To develop an effective algorithm for the management of women with a uterine scar defect at the stage of preparation for

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Bohiltea, Roxana-Elena, Bianca-Margareta Mihai, Valentin Varlas, et al. "Levonorgestrel intrauterine device as a non-invasive approach of abnormal uterine bleeding caused by cesarean scar defect." Romanian Medical Journal 68, no. 4 (2021): 461–64. http://dx.doi.org/10.37897/rmj.2021.4.8.

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Cesarean scar defect, niche or isthmocele represents a poor healing in the anterior uterine wall after performing a cesarean section. The cesarean scar defect can be asymptomatic, or the patient could present abnormal uterine bleeding, chronic pelvic pain, dysmenorrhea, dyspareunia, cesarean scar pregnancy or abnormal placenta. Abnormal uterine bleeding caused by cesarean scar defect presents as a postmenstrual spotting and has become more and more common among women with a history of minimum one cesarean section delivery. The most studied risk factors are: multiple cesarean section deliveries

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Bohiltea, Roxana Elena, Miruna Cosmescu, Ionita Ducu, et al. "Determinants of uterine scarring." Romanian Medical Journal 68, S6 (2021): 119–22. http://dx.doi.org/10.37897/rmj.2021.s6.19.

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Despite current recommendations to encourage vaginal birth, the rate of cesarean sections has increased significantly in recent years, leading to an increase in the rate of uterine scar defects. The association between these defects and multiple maternal comorbidities motivates their study for prevention. Using various online library search engines such as PubMed, Medscape, UpToDate, Cochrane, we selected studies on the factors that cause deficient uterine scarring. In literature, it has various names, such as: isthmocele, niche, uterine scar dehiscence or uterine diverticulum. For this paper,

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Bozhenkov, Konstantin A., T. A. Gustovarova, E. M. Shifman, and V. L. Vinogradov. "EPIDURAL ANALGESIA AND LABORS IN WOMEN WITH A UTERINE SCAR: WHAT IS THE DEGREE OF RISK?" V.F.Snegirev Archives of Obstetrics and Gynecology 4, no. 4 (2017): 220–24. http://dx.doi.org/10.18821/2313-8726-2017-4-4-220-224.

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The article presents the results of a prospective controlled longitudinal study involving 69 reproductive women with a uterine scar after a cesarean section in previous labor. In women included in the study births were performed vaginally. Patients were divided into two groups: the first group consisted of 38 women with a uterine scar, whose vaginal deliveries were anesthetized by the method of epidural analgesia; the second group included 31 multipara patients with a uterine scar, in which the births were carried vaginally without epidural analgesia. Over the course of a study epidural analge

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Tan, G., YS Chong, and A. Biswas. "Caesarean Scar Pregnancy: A Diagnosis to Consider Carefully in Patients with Risk Factors." Annals of the Academy of Medicine, Singapore 34, no. 2 (2005): 216–19. http://dx.doi.org/10.47102/annals-acadmedsg.v34n2p216.

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Introduction: Caesarean scar pregnancy is rare. A high index of suspicion is necessary to make the right diagnosis early. Clinical Picture: Two women, each with a history of 1 previous caesarean delivery, were initially diagnosed with spontaneous abortion in progress when ultrasonography scan revealed the gestational sac to be in the lower uterine cavity. Subsequent ultrasound scans showed that the gestational sac was actually in the anterior uterine wall at the level of the uterine isthmus. Treatment: Both women were managed successfully with intrasac methotrexate injection. Outcome: We repor

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SULTANA, RAZIA, SAIF-UL ISLAM, and NURJAHAN -. "CAESAREAN SCAR PREGNANCY;." Professional Medical Journal 20, no. 05 (2013): 849–51. http://dx.doi.org/10.29309/tpmj/2013.20.05.1434.

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Caesarean Scar pregnancy (CSP) is a rare form of Ectopic pregnancy where the gestation sac is surrounded bymyometrium and the fibrous tissue of the scar from the previous caesarean section. It is often misdiagnosed as Molar pregnancy orInevitable Abortion and can be associated with massive hemorrhage and pervaginal bleeding leading to uterine rupture. Here we reporteda case of Caesarean scar pregnancy who presented with history of cesarean section and pervaginal bleeding. Dilatation and curettagewas planned but during the operative procedure there was profuse hemorrhage leading to hypovolumic

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Roberge, Stéphanie, and Emmanuel Bujold. "Letter to Editor: Impact of labor on uterine scar healing." Open Medicine 8, no. 4 (2013): 434–35. http://dx.doi.org/10.2478/s11536-012-0140-7.

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AbstractUltrasound of uterine scar after cesarean and measurement of its thickness can be used to evaluate its healing and risk factors for scar defect and uterine rupture. However, we believe that a period of up to 6 months after surgery is necessary to achieve complete healing of the scar, especially in cases of cesarean performed during labor.

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Qandeel Zahra. "Frequency of Uterine Scar Dehiscence and Its Associated Risk Factors in Patients with Previous Lower Segment Cesarean Section at Jinnah Post Graduate Medical Center, Karachi." Indus Journal of Bioscience Research 3, no. 2 (2025): 688–92. https://doi.org/10.70749/ijbr.v3i2.773.

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Introduction: Uterine scar dehiscence is a dangerous occurrence in women with previous cesarean sections, as it has the potential to lead to a uterine dehiscence with poor maternal and fetal outcomes. This is a cross-sectional study to ascertain the prevalence of scar dehiscence and risk factors among women who had previous lower-segment cesarean sections in Jinnah Postgraduate Medical Centre, Karachi. Objectives: The objective of this study was to review scar dehiscence of the uterus and to suggest possible risk factors in patients undergoing one or more of the lower segment cesarean sections

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Valiev, Shukhrat Nasimovich, and Bahodur Boltaevich Negmadjanov. "CAESAREAN SECTION IN WOMEN WITH A UTERINE SCAR. MODERN METHODS OF MANAGEMENT (LITERATURE REVIEW)." Journal of reproductive health and uro-nephrology research 3, no. 3 (2022): 3. https://doi.org/10.5281/zenodo.7147051.

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This article examines the choice of the optimal method of abdominal delivery in women with a uterine scar. The data of the latest literature are given. Methods of managing pregnant women with a uterine scar, surgical techniques and reducing early and late postoperative complications are described.  

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Zhilkina, А. А., D. S. Bokieva, О. V. Antipova, et al. "Cesarean section during labor: ultrasound assessment of postoperative scar healing." Ultrasound & Functional Diagnostics 31, no. 2 (2025): 40–56. https://doi.org/10.24835/1607-0771-304.

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The number of cesarean sections performed worldwide continues to rise each year. In Europe, cesarean deliveries account for approximately 25% of all births. Global concern about the increase in the number of operations is justified and is associated with an increase in the number of complications. An incompetent uterine scar poses significant risks for both maternal and fetal health in subsequent pregnancies. Currently, there is no “gold standard” for assessing the postoperative suture and subsequently the uterine scar, and the factors influencing its healing remain unclear. Additionally, the

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Farayha, Farayha Khalid, Iqra Shaukat, Mohsin Jamil, Beenish Suhail, Hassaan Ahmed Khan Niazi, and Abdullah Ahmed Khan Niazi. "Early Diagnosis of Cesarean Site Ectopic Pregnancy: The Critical Role of Ultrasound in Preventing Complication." Journal of Islamabad Medical & Dental College 13, no. 4 (2025): 684–86. https://doi.org/10.35787/jimdc.v13i4.1327.

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Cesarean scar ectopic pregnancy (CSP) is a rare type of ectopic pregnancy where the embryo implants on the cesarean scar from a prior surgery. We present a case of a 34-year-old woman, gravida 6, para 5, with history of five previous cesarean sections and uncontrolled type 2 diabetes. She presented with 8 weeks and 3 days of amenorrhea. Transabdominal and transvaginal ultrasound confirmed a viable gestation implanted in the anterior part of the lower uterine segment, within the cesarean scar region. Subsequently, laparotomy for excision of ectopic pregnancy was done. Gestational sac adherent t

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