Cesarean scar defect – manifestation, diagnostics, treatment

Česká verze

Authors: V. Pešková; M. Kacerovský
Authors place of work: Porodnická a gynekologická klinika FN, Hradec Králové, přednosta kliniky prof. MUDr. J. Špaček, Ph. D., IFEPAG
Published in the journal: Ceska Gynekol 2020; 85(4): 282-287
Category: Přehledový článek

Summary

Objective: To summarize current knowledge concerning cesarean scar defects and it’s manifestation, diagnostics and treatment possibilities.

Design: Review.

Setting: Department of Obstetrics and Gynecology, University Hospital Hradec Kralove.

Methodology: Research from available literature works and studies regarding facts about cesarean scar defects.

Conclusion: Cesarean scar defect is one of known complication after cesarean section which has become more common in consequence of rising cesarean delivery rate. It is associated with sundry gynecological and obstetric difficulties like abnormal uterine bleeding, pelvic pain, infertility, cesarean scar defect pregnancy or uterine rupture. The most common diagnostic way is using transvaginal ultrasound, sonohysterography or hysteroscopy. Treatment choice is due to a size of cesarean scar defect and also pregnancy planning. Alternatives of treatment including hormonal contraception and various surgery such as hysteroscopy, laparoscopy, laparotomy and transvaginal procedures.

Keywords:

cesarean scar defect – abnormal uterine bleeding – pelvic pain – infertility – uterine rupture – vaginal ultrasound – hysteroscopy – laparoscopy

Zdroje

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