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 | ||
| Minia Journal of Medical Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 16 August 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2023.228048.1495 | ||
| Authors | ||
| Emad Ahmed AbdelMooty1; Ahmed Mesalam* 2; كريم شاهين3; reham Elkhateeb4 | ||
| 1Obstetrics and Gynaecology,Faculty of medecine,Elminia University,Elminia,Egypt | ||
| 2Obstetrics and Gynecology, Faculty of medicine ,Minia university | ||
| 3Obstetric and Gynecology, Faculty of medicine , Minia university | ||
| 4Obstetrics 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. | ||
| Keywords | ||
| Cesarean scar defect; SSI; sonohysterography | ||
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