Histopathology of Caesarean Section Wounds. An Experimental Study

Isthmocele

“…Interestingly, the defect shown in the images is very similar to those reported by Poidevin,2 who observed that the inclusion of the decidua into the suture (see Figure ) is strongly associated with this type of scar defect. Poidevin and others suggested that inclusion of the decidua leads to the accumulation of endometrial cells in the uterine scar and impairs the appropriate approximation of the myometrium.…”

The Impact of Uterine Incision Closure Techniques on Post‐cesarean Delivery Niche Formation and Size

“…These more recent developments made no reference to how to “handle” the endometrium during incision closure. The impact of the endometrium on scar strength and integrity has been studied in animal and human models 21–23 . There are limited data on the long‐term effects of CDs based on surgical techniques.…”

“…The impact of the endometrium on scar strength and integrity has been studied in animal and human models. [21][22][23] There are limited data on the long-term effects of CDs based on surgical techniques. A recent retrospective study of 4496 consecutive deliveries was conducted and concluded that there was no abnormal placentation in subsequent pregnancies of 737 women who underwent a CD during the 30-year period when a specific technique termed "endometrium-free uterine closure technique" (EFCT) was employed 24 (Figure 2).…”

Συρραφή Του Τραύματος Της Χαμηλής Εγκαρσίας Καισαρικής Τομής Εις Εν Στρώμα Και Υστερογραφικός Έλεγχος Της Ουλής

“…Καθ ίσταται λοιπόν πρόδηλον δτι κατά τήν διάρκειαν τής λοχείας ή μήτρα υφί σταται εντόνους λειτουργικός δραστηριότητας άλλα καί ιστολογικός δια φοροποιήσεις. Ούτω τά λεία μυϊκά κύτταρα υφίστανται μεγάλην έλάττωσιν τοΰ μεγέθους των, ενίοτε δέ λιπώδη έκφύλισιν ( 38 , 85 ). Τά αγγεία επίσης υπόκεινται είς συρρίκνωσιν ή καί θρόμβωσιν, ό δέ μεταξύ των μυϊκών δε σμίδων κολλαγόνος συνδετικός ιστός υποστρέφει μέν, αλλά εις μικρότερον βαθμόν (ι 4 ).…”