hosny, T., Abdel-Moneim, H., Elatfy, A. (2024). INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION. ALEXMED ePosters, 6(3), 33-34. doi: 10.21608/alexpo.2024.307763.1900
Tamer Ahmed hosny; Hesham M. Adel Abdel-Moneim; Ahmed Ebrahim AbdElAziz Ebrahim Elatfy. "INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION". ALEXMED ePosters, 6, 3, 2024, 33-34. doi: 10.21608/alexpo.2024.307763.1900
hosny, T., Abdel-Moneim, H., Elatfy, A. (2024). 'INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION', ALEXMED ePosters, 6(3), pp. 33-34. doi: 10.21608/alexpo.2024.307763.1900
hosny, T., Abdel-Moneim, H., Elatfy, A. INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION. ALEXMED ePosters, 2024; 6(3): 33-34. doi: 10.21608/alexpo.2024.307763.1900
INCIDENCE OF CESAREAN SCAR DEFECT IN CASES OF CESAREAN SECTION WITH AND WITHOUT BLADDER FLAP DISSECTION
1Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University
2Department of Obstetrics and Gynecology, Faculty of medicine, Alexandria University.
Abstract
Uterine niche is an iatrogenic pouch-like defect at the site of previous caesarean scar due to defective tissue healing. Uterine niche occurs in up to 70% women with previous cesarean of whom 30% are symptomatic. Reported prevalence varies: 24–70% with transvaginal sonography (TVS), Lower uterine incision towards the cervix, Cesarean section done in advanced labour after cervical effacement, Single-layer, decidua sparing closure technique predisposes to incomplete closure, Non- perpendicular sutures leading to an irregular myometrial closure, locking sutures or very tight second layer leading to is necrosis resulting poorly healed scar predisposing to niche formation. Thus, double-layer uterine closure using non-locking sutures is the optimal closure technique that results in thicker residual myometrium and hence potentially lower risk of niches.
Aim: The aim of this study was to compare Incidence of cesarean scar defect in cases of cesarean section with and without bladder flap dissection
Patients and Methods: 268 women were randomly divided into two equal groups using double blind method with closed envelopes • Group (A) 134 were subjected to traditional cesarean section with bladderflap dissection after blunt entry into peritoneum and before entry to uterus. • Group (B) 134 were subjected to traditional cesarean section with entry into uterus directly after blunt entry into peritoneum without bladder flap dissection.
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