Endovaginal Ultrasound versus Hysterosalpingography in Evaluation of Cesarean Scar | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 30, Volume 82, Issue 4, January 2021, Page 773-777 PDF (521.52 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2021.154618 | ||||
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| Authors | ||||
Mohamed E Anter  ; Mohamed S. Gad; Emily M. Fahmy; Alla Aldeen A. Al Halaby
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| Obstetrics and Gynecology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt | ||||
| Abstract | ||||
| Background: Cesarean section (CS) is one of the most common surgical procedures in women. A recent study documented that Egypt ranked 3rd among world countries with an estimated rate of CS of 51.8%. Objective: We aimed to evaluate uterine scar after cesarean section (CS) by transvaginal ultrasound (TVS) versus hysterosalpingogram (HSG). Patient and methods: This cross-sectional studywas conducted on 38 patients after obtaining their approval to evaluate CS scar 3 months after delivery using TVS compared to HSG. The study was conducted in Obstetrics and Gynecology Department, Menoufia University in the period between January 2019 and January 2020. Results: Uterine scar defect was identified in 21 cases by HSG (55.3%), while TVS was able to identify it in only 13 cases (34.2%). Compared to HSG, transvaginal ultrasound had sensitivity and specificity of 61.9 and 100% respectively in detecting scar defects, with an accuracy of 78.94%, Conclusion: Along with increased radiological expertise expected with time, TVS will be more comparable to HSG and appears to be a promising tool in evaluation cesarean scar defect as it has significant agreement with HSG. | ||||
| Keywords | ||||
| Cesarean Section; Cross-Sectional Studies; Hysterosalpingography; Ultrasonography | ||||
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