Prevalence, potential risk factors for development and symptoms related to the presence of uterine niches following Cesarean section: Systematic review

Ultrasound in Obstetrics and Gynecology

Volumn 43, Issue 4, 2014, Pages 372-382

  Bij De Vaate, A J M ^a   Van Der Voet, L F ^b   Naji, O ^c   Witmer, M ^a   Veersema, S ^d   Brolmann H A M ^a   Bourne, T ^c,e   Huirne, J A F ^a  

^a VU UNIVERSITY AMSTERDAM   (Netherlands)

^b DEVENTER HOSPITAL   (Netherlands)

^c QUEEN CHARLOTTE S AND CHELSEA HOSPITAL   (United Kingdom)

^d ST ANTONIUS HOSPITAL   (Netherlands)

^e UNIVERSITY HOSPITALS LEUVEN   (Belgium)

Author keywords

Cesarean scar; isthmocele; postmenstrual spotting; scar defect; sonohysterography; transvaginal ultrasound; wound dehiscence

Indexed keywords

ADULT; CESAREAN SECTION; CICATRIX; COMPLICATION; DYSMENORRHEA; FEMALE; FERTILITY; HUMAN; METRORRHAGIA; PATHOLOGY; PELVIC PAIN; PREGNANCY; PREVALENCE; RISK FACTOR; UTERINE DISEASES;

ADULT; CESAREAN SECTION; CICATRIX; DYSMENORRHEA; FEMALE; FERTILITY; HUMANS; METRORRHAGIA; PELVIC PAIN; PREGNANCY; PREVALENCE; RISK FACTORS; UTERINE DISEASES;

EID: 84891358333     PISSN: 09607692     EISSN: 14690705     Source Type: Journal    
DOI: 10.1002/uog.13199     Document Type: Review

References (30)

1. Betrán AP, Merialdi M, Lauer JA, Bing-Shun W, Thomas J, Van Look P, Wagner M,. Rates of caesarean section: analysis of global, regional and national estimates. Paediatr Perinat Epidemiol 2007; 21: 98-113.
2. Diaz SD, Jones JE, Seryakov M, Mann WJ,. Uterine rupture and dehiscence: ten-year review and case-control study. South Med J 2002; 95: 431-435.
3. Clark SL, Koonings PP, Phelan JP,. Placenta previa/accreta and prior Cesarean section. Obstet Gynecol 1985; 66: 89-92.
4. Armstrong V, Hansen WF, Van Voorhis BJ, Syrop CH,. Detection of Cesarean scars by transvaginal ultrasound. Obstet Gynecol 2003; 101: 61-65.
5. Bij de Vaate AJ, Brolmann HA, van der Voet LF, van der Slikke JW, Veersema S, Huirne JA,. Ultrasound evaluation of the Cesarean scar: relation between a niche and postmenstrual spotting. Ultrasound Obstet Gynecol 2011; 37: 93-99.
6. Fabres C, Aviles G, De La Jara C, Escalona J, Muñoz JF, Mackenna A, Fernández C, Zegers-Hochschild F, Fernández E,. The cesarean delivery scar pouch: clinical implications and diagnostic correlation between transvaginal sonography and hysteroscopy. J Ultrasound Med 2003; 22: 695-700.
7. Regnard C, Nosbusch M, Fellemans C, Benali N, van Rysselberghe M, Barlow P, Rozenberg S,. Cesarean section scar evaluation by saline contrast sonohysterography. Ultrasound Obstet Gynecol 2004; 23: 289-292.
8. Monteagudo A, Carreno C, Timor-Tritsch IE,. Saline infusion sonohysterography in nonpregnant women with previous cesarean delivery: the "niche" in the scar. J Ultrasound Med 2001; 20: 1105-1115.
9. Osser OV, Jokubkiene L, Valentin L,. High prevalence of defects in Cesarean section scars at transvaginal ultrasound examination. Ultrasound Obstet Gynecol 2009; 34: 90-97.
10. Wang CB, Chiu WW, Lee CY, Sun YL, Lin YH, Tseng CJ,. Cesarean scar defect: correlation between Cesarean section number, defect size, clinical symptoms and uterine position. Ultrasound Obstet Gynecol 2009; 34: 85-89.
11. Ofili-Yebovi D, Ben-Nagi J, Sawyer E, Yazbek J, Lee C, Gonzalez J, Jurkovic D,. Deficient lower-segment Cesarean section scars: prevalence and risk factors. Ultrasound Obstet Gynecol 2008; 31: 72-77.
12. Surapaneni K, Silberzweig JE,. Cesarean section scar diverticulum: appearance on hysterosalpingography. AJR Am J Roentgenol 2008; 190: 870-874.
13. Borges LM, Scapinelli A, de Baptista Depes D, Lippi UG, Coelho Lopes RG,. Findings in patients with postmenstrual spotting with prior cesarean Section. J Minim Invasive Gynecol 2010; 17: 361-364.
14. Chen HY, Chen SJ, Hsieh FJ,. Observation of cesarean section scar by transvaginal ultrasonography. Ultrasound Med Biol 1990; 16: 443-447.
15. Menada Valenzano M, Lijoi D, Mistrangelo E, Costantini S, Ragni N,. Vaginal ultrasonographic and hysterosonographic evaluation of the low transverse incision after caesarean section: correlation with gynaecological symptoms. Gynecol Obstet Invest 2006; 61: 216-222.
16. El-Mazny A, Abou-Salem N, El-Khayat W, Farouk A,. Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section. Middle East Fertil Soc J 2011; 16: 72-76.
17. Osser OV, Jokubkiene L, Valentin L,. Cesarean section scar defects: agreement between transvaginal sonographic findings with and without saline contrast enhancement. Ultrasound Obstet Gynecol 2010; 35: 75-83.
18. Thurmond AS, Harvey WJ, Smith SA,. Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by sonohysterography. J Ultrasound Med 1999; 18: 13-16.
19. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D,. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009; 339: b2700.
20. Vandenbroucke JP, von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, Poole C, Schlesselman JJ, Egger M; STROBE Initiative. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. PLoS Med 2007; 4: e297.
21. Whiting P, Rutjes AW, Reitsma JB, Bossuyt PM, Kleijnen J,. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol 2003; 3: 25.
22. Vikhareva Osser O, Valentin L,. Risk factors for incomplete healing of the uterine incision after caesarean section. BJOG 2010; 117: 1119-1126.
23. Ceci O, Cantatore C, Scioscia M, Nardelli C, Ravi M, Vimercati A, Bettocchi S,. Ultrasonographic and hysteroscopic outcomes of uterine scar healing after cesarean section: comparison of two types of single-layer suture. J Obstet Gynaecol Res 2012; 38: 1302-1307.
24. Glavind J, Madsen L, Uldbjerg N, Dueholm M,. Ultrasound evaluation of Cesarean scar after single- and double-layer uterotomy closure: a cohort study. Ultrasound Obstet Gynecol 2013; 42: 207-212.
25. Hayakawa H, Itakura A, Mitsui T, Okada M, Suzuki M, Tamakoshi K, Kikkawa F,. Methods for myometrium closure and other factors impacting effects on cesarean section scars of the uterine segment detected by the ultrasonography. Acta Obstet Gynecol Scand 2006; 85: 429-434.
26. Yazicioglu F, Gökdogan A, Kelekci S, Aygün M, Savan K,. Incomplete healing of the uterine incision after caesarean section: Is it preventable? Eur J Obstet Gynecol Reprod Biol 2006; 124: 32-36.
27. Chang Y, Tsai EM, Long CY, Lee CL, Kay N,. Resectoscopic treatment combined with sonohysterographic evaluation of women with postmenstrual bleeding as a result of previous cesarean delivery scar defects. Am J Obstet Gynecol 2009; 200: 370.e1-4.
28. Uppal T, Lanzarone V, Mongelli M,. Sonographically detected caesarean section scar defects and menstrual irregularity. J Obstet Gynaecol 2011; 31: 413-416.
29. Buhimschi CS, Buhimschi IA, Yu C, Wang H, Sharer DJ, Diamond MP, Petkova AP, Garfield RE, Saade GR, Weiner CP,. The effect of dystocia and previous cesarean uterine scar on the tensile properties of the lower uterine segment. Am J Obstet Gynecol 2006; 194: 873-883.
30. Naji O, Abdallah Y, Bij De Vaate AJ, Smith A, Pexsters A, Stalder C, McIndoe A, Ghaem-Maghami S, Lees C, Brolmann HA, Huirne JA, Timmerman D, Bourne T,. Standardized approach for imaging and measuring Cesarean section scars using ultrasonography. Ultrasound Obstet Gynecol 2012; 39: 252-259.