Fortunato Genovese, Antonio Schiattarella, Gisella D'Urso, Salvatore Giovanni Vitale, Jose Carugno, Giovanna Verzì, Valentina D'Urso, Elisa Iacono, Stefano Siringo, Vito Leanza, Marco Palumbo
INTRODUCTION: The uterine caesarean scar defect, also known as uterine niche or isthmocele, is an irregularity in the anterior uterine wall at the site of a previous cesarean section scar. It is associated with obstetrical complications such as caesarean scar ectopic pregnancy, uterine rupture and, the placental accreta spectrum. Women with cesarean scar defects are frequently asymptomatic, but they may also experience abnormal vaginal bleeding, chronic pelvic pain, and infertility. METHODS: This systematic review aims to determine the best hysterotomy closure technique to prevent subsequent development of uterine scar defects...
February 1, 2023: Gynecologic and Obstetric Investigation