INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION
hosny, T., Abdel-Moneim, H., Elatfy, A. (2024). INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION. EKB Journal Management System, 6(3), 33-34. doi: 10.21608/alexpo.2024.307763.1900
Tamer Ahmed hosny; Hesham M. Adel Abdel-Moneim; Ahmed Ebrahim AbdElAziz Ebrahim Elatfy. "INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION". EKB Journal Management System, 6, 3, 2024, 33-34. doi: 10.21608/alexpo.2024.307763.1900
hosny, T., Abdel-Moneim, H., Elatfy, A. (2024). 'INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION', EKB Journal Management System, 6(3), pp. 33-34. doi: 10.21608/alexpo.2024.307763.1900
hosny, T., Abdel-Moneim, H., Elatfy, A. INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION. EKB Journal Management System, 2024; 6(3): 33-34. doi: 10.21608/alexpo.2024.307763.1900

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, Page 33-34  XML
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2024.307763.1900
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Authors
Tamer Ahmed hosny1; Hesham M. Adel Abdel-Moneim2; Ahmed Ebrahim AbdElAziz Ebrahim Elatfy email 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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