Symptomatic niches in the uterine scar after cesarean section: analysis of the causes of development and clinical manifestations

M.T. Torobaeva, S.N. Buyanova, S.A. Petrakova
In: Russian Journal of Human Reproduction · 2025 · vol. 31(4) , pp. 110 · doi:10.17116/repro202531041110 · W4414130380
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Abstract

Objective. Identification of the most significant reasons for the development of symptomatic niches. Material and methods. In the course of the study, two groups were formed: the main and the control. The main group consisted of 2 subgroups: Ia subgroup — 58 patients with clinical manifestations of insolvent scar on the uterus after CC and the thickness of retained myometry 2 mm Ib — 48 patients with insolvent scar on the uterus and the thickness of retained myometry 2 mm, but without symptoms. In order to identify the causes of the development of an insolvent scar on the uterus, a control group was created — patients (n=32) with a scar on the uterus after a caesarean section. Results. The causes of the development of large symptomatic niches (an incompetent scar on the uterus) are: the course of pregnancy complicated by exacerbation of bronchopulmonary diseases (HR=2.53; 95% CI: 1.096—5.867) and genitourinary systems (HR=4.07; 95% CI: 1.024—16.214); anhydrous interval ≥12 hours (HR=10.2; 95% CI: 1.462—72.066); emergency CS (HR=2.19, 95% CI: 1.344—3.587); incision on the uterus repaired with a single-row suture (HR=2.6; 95% CI: 1.016—6.871); intrauterine interventions in the early postoperative period (HR=7.2; 95% CI: 1.020—51.486); adenomyosis (p<0.05), duration of labor for ≥6 hours (HR=2.7; 95% CI:1.206—6.395). Conclusion. Symptomatic scar niches on the uterus after a large cesarean section are a multifactorial disease. Symptoms of an untenable scar on the uterus can begin to bother patients as early as 6 months to 5 years after CS, averaging 2.3±0.4 years and have various clinical manifestations.
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Сайт издательства «Медиа Сфера» содержит материалы, предназначенные исключительно для работников здравоохранения. Закрывая это сообщение, Вы подтверждаете, что являетесь дипломированным медицинским работником или студентом медицинского образовательного учреждения. Результаты поиска: 0 Симптоматические ниши больших размеров в рубце на матке после кесарева сечения (несостоятельный рубец на матке): анализ причин развития и клинических проявлений Журнал: Проблемы репродукции. 2025;31(4): 110‑115 Прочитано: 861 раз Как цитировать: Литература / References: - Tsuji S, Nobuta Y, Hanada T, Takebayashi A, Inatomi A, Takahashi A, Amano T, Murakami T. Prevalence, definition, and etiology of cesarean scar defect and treatment of cesarean scar disorder: A narrative review. Reproductive Medicine and Biology. 2023;22(1):e12532. https://doi.org/10.1002/rmb2.12532 - Tulandi T, Cohen A. Emerging Manifestations of Cesarean Scar Defect in Reproductive-aged Women. 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