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60-70% of women after a cesarean section, 100% after 3rd cesarean section [1] A uterine niche , also known as a Cesarean scar defect or an isthmocele , is an indentation of the myometrium at the site of a cesarean section with a depth of at least 2 mm. [ 2 ]
Asherman's syndrome (AS) is an acquired uterine condition that occurs when scar tissue forms inside the uterus and/or the cervix. [1] It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus stick to one another.
Complications of abdominal surgery include, but are not limited to: Adhesions (also called scar tissue): complications of postoperative adhesion formation are frequent, they have a large negative effect on patients’ health, and increase workload in clinical practice [1] Bleeding; Infection; Paralytic ileus: short-term paralysis of the bowel
Cervical canal widening can be temporarily achieved by the insertion of dilators into the cervix. If the stenosis is caused by scar tissue, a laser treatment can be used to vaporize the scarring. [5] Finally, the surgical enlargement of the cervical canal can be performed by hysteroscopic shaving of the cervical tissue. [6]
[43] [44] CSP are characterized by abnormal implantation into the scar from a previous cesarean section, [45] and allowed to continue can cause serious complications such as uterine rupture and hemorrhage. [44] Patients with CSP generally present without symptoms, however symptoms can include vaginal bleeding that may or may not be associated ...
An old cesarean scar may undergo dehiscence; with further labor the woman may experience abdominal pain and vaginal bleeding, though these signs are difficult to distinguish from normal labor. Often a deterioration of the fetal heart rate is a leading sign, but the cardinal sign of uterine rupture is loss of fetal station on manual vaginal exam.
An important risk factor for placenta accreta is placenta previa in the presence of a uterine scar. Placenta previa is an independent risk factor for placenta accreta. Additional reported risk factors for placenta accreta include maternal age and multiparity, other prior uterine surgery, prior uterine curettage, uterine irradiation, endometrial ablation, Asherman syndrome, uterine leiomyomata ...
Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk. [ 2 ]
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