INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION | ||
| ALEXMED ePosters | ||
| Article 1, Volume 6, Issue 3, July 2024, Pages 33-34 | ||
| Document Type: Preliminary preprint short reports of original research | ||
| DOI: 10.21608/alexpo.2024.307763.1900 | ||
| Authors | ||
| Tamer Ahmed hosny1; Hesham M. Adel Abdel-Moneim2; Ahmed Ebrahim AbdElAziz Ebrahim Elatfy* 2 | ||
| 1Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University | ||
| 2Department of Obstetrics and Gynecology, Faculty of medicine, Alexandria University. | ||
| Abstract | ||
| Uterine niche is an iatrogenic pouch-like defect at the site of previous caesarean scar due to defective tissue healing. Uterine niche occurs in up to 70% women with previous cesarean of whom 30% are symptomatic. Reported prevalence varies: 24–70% with transvaginal sonography (TVS), Lower uterine incision towards the cervix, Cesarean section done in advanced labour after cervical effacement, Single-layer, decidua sparing closure technique predisposes to incomplete closure, Non- perpendicular sutures leading to an irregular myometrial closure, locking sutures or very tight second layer leading to is necrosis resulting poorly healed scar predisposing to niche formation. Thus, double-layer uterine closure using non-locking sutures is the optimal closure technique that results in thicker residual myometrium and hence potentially lower risk of niches. Aim: The aim of this study was to compare Incidence of cesarean scar defect in cases of cesarean section with and without bladder flap dissection Patients and Methods: 268 women were randomly divided into two equal groups using double blind method with closed envelopes • Group (A) 134 were subjected to traditional cesarean section with bladderflap dissection after blunt entry into peritoneum and before entry to uterus. • Group (B) 134 were subjected to traditional cesarean section with entry into uterus directly after blunt entry into peritoneum without bladder flap dissection. | ||
| Keywords | ||
| CESAREAN SCAR DEFECT; Uterine niche; isthmocele | ||
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