Evaluation of development of cesarean section scar niche in Patients with post cesarean section surgical site infection by 2 Dimension saline infusion sonohysterography:prospective study at Minia Maternity University Hospital

Document Type : Original Article

Authors

1 Obstetrics and Gynaecology,Faculty of medecine,Elminia University,Elminia,Egypt

2 Obstetrics and Gynecology, Faculty of medicine ,Minia university

3 Obstetric and Gynecology, Faculty of medicine , Minia university

4 Obstetrics and Gynecology, Faculty of medicine, Minia university

Abstract

Purpose of study : the niche as "any indentation representing myometrial discontinuity at the site of the scar that communicates with the uterine or cervical cavity" (1).CSD identification is made easier by the advancement and greater use of diagnostic technologies such as pelvic ultrasonography and MRI. Furthermore, the higher incidence of caesarean delivery may lead to a rise in the number of women complaining of postmenstrual spotting, irregular bleeding, pelvic discomfort, or infertility (2). This study aimed to evaluate development of scar niche in patient with post CS SSI. Basic procedures: this study was conducted on 100 women at the Minia University Hospital's Department of Gynaecology for follow-up following CS SSI. The research was started in June 2022 to June 2023. Using saline infusion sonohysterography. Main findings: results of this study revealed niche prevalence 84% of participants had a niche. 71% had a triangular niche, 26% a semicircular niche, and 3% a droplet niche. Principle conclusion: Our prospective analysis found that surgical site infections , rural domicile, higher BMI and emergency CS all enhance the chance of scar defect formation.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 16 August 2023

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