Absence of post–cesarean delivery niche in patients with endometrial-free hysterorrhaphy

Placenta accreta spectrum (PAS) is an entity associated with serious complications. The higher incidence of cesarean delivery related to a PAS. Until now there no valid strategy prevent PAS; however, relationship has been reported between the presence extensive myometrial defects in area where section was performed and increased risk developing PAS subsequent pregnancy. This observation gives relevance strategies reduce postoperative niche after first caesarean section. We evaluated 12 patients undergoing their c-section using endometrial-free uterine closure technique (EFCT). Prospective observational study including whom myometrium closed double layer suture, free endometrium. Six twelve months section, sonohysterography assess niche. hysterorrhaphy videotaped photographed document exclusion endometrium at suture. Twelve women whose characteristics appear Table 1 were included. In none them any defect observed previous (Image 1). Other authors have described low frequency sutured EFCT. Similarly, appearance immediately applying single-locked, full-thickness during Although our results are not conclusive further research required, absence 100% treated EFCT supports hypothesis that affects cohort EFCT, we did observe Additional studies required evaluate niche.View Large Image Figure ViewerDownload Hi-res image Download (PPT)