Agreement between transvaginal ultrasound and saline contrast sonohysterography in evaluation of cesarean scar defect

Rasheedy, Radwa; Sammour, Hazem; Elkholy, Abdellatif; Fadel, Ebtesam

doi:10.1016/j.jogoh.2019.05.013

Cited by 14 publications

(12 citation statements)

References 26 publications

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“…Additionally, it has increased sensitivity and specificity for the detection of uterine niches by enhancing the isthmocele and allowing its dynamic evaluation. Compared to transvaginal ultrasonography, it detects more niches [16,17] and more of them are classified as large [18]. It is more invasive examination than TVUS and carries a low risk of complications (such as infections).…”

Section: Sonohysterography (Shg)mentioning

confidence: 99%

Uterine niche after cesarean section: a review of diagnostic methods

Budny-Wińska

Pomorski

2021

Ginekol Pol

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Section: Sonohysterography (Shg)mentioning

confidence: 99%

Uterine niche after cesarean section: a review of diagnostic methods

Budny-Wińska

Pomorski

2021

Ginekol Pol

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“…Magnetic resonance imaging plays an important role when ultrasonography is inconclusive [10]. Takahashi et al [11] and Rasheedy et al [12] noted that ultrasonography is the most important diagnostic modality for CSP.…”

Section: Discussionmentioning

confidence: 99%

Indwelling Intrauterine Foley Balloon Catheter for Intraoperative and Postoperative Bleeding in Cesarean Scar Pregnancy

Lü

Guo

Zhou

et al. 2020

Journal of Minimally Invasive Gynecology

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Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy, and a significant concern in the management of this condition is the control and prevention of bleeding. We aimed to determine the efficacy and value of an indwelling, intrauterine Foley balloon catheter in controlling and preventing intraoperative and postoperative bleeding in patients with CSP. Design: Retrospective case series. Setting: University-affiliated hospital.

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“…The uterine cavity was examined carefully for the presence of other intrauterine abnormalities, such as Naeschner's cyst of the cervix, submucosal fibroids or polyps. Niche was defined as an indentation at the site of the cesarean scar with a depth of at least 2 mm in the sagittal plane 8 .…”

Section: Cesarean Scars Measurementmentioning

confidence: 99%

“…It forms a triangular anechoic structure at the site of the uterus scar with depth more than 2 mm and is defined as a niche 1 . The prevalence of the niche varies between 24% and 70% in random populations by transvaginal ultrasonography (TVS) 1,7,8 .…”

Section: Introductionmentioning

confidence: 99%

Selection of high-risk individuals for a large niche development based on a scoring classification model: a retrospective cohort study.

Wang¹,

Pang²,

Wei³

et al. 2020

Preprint

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Objective: To develop a risk prediction model to identify the high-risk individuals of large niche formation after cesarean section (CS). Design A retrospective study. Setting Women's health research in Anhui, China. Population: Women received CS between Jan 2012 to Jun 2017. Methods: Women were arranged to receive uterine scar examination by transvaginal ultrasonography, and those diagnosed with niche were divided into two groups according to whether they suffer from postmenstrual spotting. The cut-off values of depth, RMT (residual myometrium thickness), and depth/AMT (adjacent myometrium thickness) were chosen to define a large niche. Then, all participants were classified into three groups, including a control, a small niche, and a large niche group. The scores of each variable in the prediction model were calculated by dividing the minimum βcoefficient from the multivariate logistic analysis. Main outcome: Primary outcome was a prediction scoring model for large niche formation. Results: In total, 727 women were recruited in this study, and the large niche was defined as more than 0.50 cm in depth, less than 0.21 cm in RMT, more than 0.56 in depth/AMT. The large niche prediction model included eight variables of age at delivery, retroflexed uterine, meconium-stained amniotic fluid, history of CS, B-Lynch suture, operation duration, premature rupture of membranes and cervical dilatation more than 4 cm. The cut-off value of 5 in this score-based model presented sensitivity and specificity as 67.48% and 90.07% respectively. Conclusions: This score-based risk prediction model could present the risk of large niche formation of individuals after CS.

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Agreement between transvaginal ultrasound and saline contrast sonohysterography in evaluation of cesarean scar defect

Cited by 14 publications

References 26 publications

Uterine niche after cesarean section: a review of diagnostic methods

Uterine niche after cesarean section: a review of diagnostic methods

Indwelling Intrauterine Foley Balloon Catheter for Intraoperative and Postoperative Bleeding in Cesarean Scar Pregnancy

Selection of high-risk individuals for a large niche development based on a scoring classification model: a retrospective cohort study.

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