Results 1 to 10 of about 275,300 (199)

Why do niches develop in Caesarean uterine scars? Hypotheses on the aetiology of niche development [PDF]

Human Reproduction, 2015
Caesarean section (CS) results in the occurrence of the phenomenon 'niche'. A 'niche' describes the presence of a hypoechoic area within the myometrium of the lower uterine segment, reflecting a discontinuation of the myometrium at the site of a previous CS.
Ben Willem Mol, Judith Huirne, B W J Mol   +2 more
exaly   +9 more sources

Sonographic examination of uterine niche in non-pregnant women: a modified Delphi procedure. [PDF]

Ultrasound Obstet Gynecol, 2019
ABSTRACTObjectiveTo generate guidance for detailed uterine niche evaluation by ultrasonography in the non‐pregnant woman, using a modified Delphi procedure amongst European experts.MethodsTwenty gynecological experts were approached through their membership of the European Niche Taskforce.
Jordans IPM, de Leeuw RA, Stegwee SI, Amso NN, Barri-Soldevila PN, van den Bosch T, Bourne T, Brölmann HAM, Donnez O, Dueholm M, Hehenkamp WJK, Jastrow N, Jurkovic D, Mashiach R, Naji O, Streuli I, Timmerman D, van der Voet LF, Huirne JAF.   +18 more
europepmc   +10 more sources

Fantastic niches and where to find them: the current diagnosis and management of uterine niche. [PDF]

Facts Views Vis Obgyn, 2022
Background: Caesarean section (CS) scar niche is a well recognised complication of caesarean delivery and is defined as an indentation at the site of the CS scar with a depth of at least 2mm. Objectives: To review systematically the medical literature regarding the current diagnosis and management of uterine niche Materials and Methods: We carried ...
Mc Gowan S, Goumalatsou C, Kent A.
europepmc   +3 more sources

Effectiveness of laparoscopic niche resection versus expectant management in patients with unexplained infertility and a large uterine caesarean scar defect (uterine niche): protocol for a randomised controlled trial (the LAPRES study) [PDF]

BMJ Open, 2023
Introduction A uterine niche is a defect at the site of the uterine caesarean scar that is associated with gynaecological symptoms and infertility. Promising results are reported in cohort studies after a laparoscopic niche resection concerning reduction
Ben W Mol, Judith A F Huirne, Wouter J K Hehenkamp, Rik van Eekelen, Jolijn Vissers, Saskia J M Klein Meuleman, Robert A de Leeuw, Freek A Groenman   +7 more
doaj   +2 more sources

The definition, diagnosis, and symptoms of the uterine niche – A systematic review

Best Practice and Research in Clinical Obstetrics and Gynaecology, 2023
Of all neonates, 21% are delivered by cesarean section (CS). A long-term maternal complication of an SC is a uterine niche. The aim of this review is to provide an overview of the current literature on imaging techniques and niche-related symptomatology. We performed systematic searches on imaging and niche symptoms.
Judith Huirne
exaly   +5 more sources

Uterine cesarean scar resection during repeat cesarean delivery to prevent uterine niche formation: a randomized controlled trial [PDF]

BMC Pregnancy and Childbirth
Background A uterine niche (cesarean section scar defect), defined as an indentation ≥ 2 mm in the myometrium at the site of a previous cesarean scar, reflects impaired myometrial healing after cesarean delivery.
Ahmed Alnezamy, Ahmed Zaineldin, Ahmed Ghareib, Waleed Tawfik, Ahmed Sabra, Shreen Aboelezz   +5 more
doaj   +2 more sources

Laparoscopic management of a full-thickness uterine niche with subsequent pregnancy outcome. [PDF]

Facts Views Vis Obgyn, 2021
Background: Uterine niche is the consequence of impaired healing of the myometrium following a lower segment transverse caesarean section (CS). Although there is conflicting evidence on the management of these cases, laparoscopic repair is a commonly used surgical treatment modality. Objectives: To demonstrate the management and laparoscopic repair of
Kasapoglu DZ, Tang LYO, Kadir RA, Shakir F.   +3 more
europepmc   +4 more sources

Transvaginal uterine niche repair: surgical technique and outcome. [PDF]

Facts Views Vis Obgyn
Background: A uterine niche after caesarean section may play a role in secondary infertility. The transvaginal approach is a newly developed minimally invasive surgical technique for repairing a uterine isthmocele. Objectives: To report on the feasibility, effectiveness, and safety of the transvaginal uterine niche repair.
Coppenrath D, Timmerman D, De Jonge E, Van Kerrebroeck H.   +3 more
europepmc   +4 more sources

Exploring uterine niche: a systemic review on secondary infertility rates, pathophysiological correlations, impact on assisted reproduction technology (ART), and the efficacy of surgical interventions [PDF]

BMC Pregnancy and Childbirth
Background The rising trend of cesarean sections worldwide has resulted in an increased incidence of uterine niches, a cavity formed at the cesarean scar site due to impaired tissue healing.
D. M. C. S. Jayasundara, I. A. Jayawardane, T. D. K. M. Jayasingha, S. D. S. Weliange   +3 more
doaj   +2 more sources

Post-caesarean Niche (Isthmocele) in Uterine Scar: An Update

Journal of Obstetrics and Gynecology of India, 2020
Uterine niche is one of the emerging complications of caesarean section. With rising caesarean rates, the caesarean-related iatrogenic complications are also on the rise. These include placenta accreta, scar ectopic pregnancy and uterine niche which is a newer entity being described in the recent literature.
Vidushi Kulshrestha, Nutan Agarwal, Garima Kachhawa   +2 more
exaly   +4 more sources