OBJECTIVE To develop a model to predict the success of a trial of vaginal birth after Cesarean section (VBAC) based on sonographic measurements of Cesarean section (CS) scar features, demographic variables and previous obstetric history. METHODS We used transvaginal sonography (TVS) to examine the CS scar of 320 consecutive pregnant women. TVS was carried out at 11-13, 19-21 and 34-36 weeks' ...

Cesarean scar defects (CSDs) that can be visualized using transvaginal ultrasonography (TVUS) may cause prolonged menstruation, irregular genital bleeding, and secondary infertility; surgical repair is sometimes necessary. We present a case of CSD, with dehiscence of the uterine incision, which was managed using wound lavage. A 38-year-old woman (gravida 4, para 4) had delivered her third and f...

Endometriosis is referred to the presence of functioning, ectopic endometrial tissue outside pelvic cavity. Their occurrences after abdominal or surgeries especially cesarean section, at site scar incision, are documented. The patient experiences cyclical pain incision related menstrual cycle. Imaging can be used detect lesion and medical management provided. However, in severe cases, total exc...

in this study, we demonstrate the appearance of anatomic defects of the uterine cavity on hsg after cesarian section. we define different shapes such as thin linear defect, focal saccular outpouching, unilateral or bilateral diverticula (dog-ear like) and fistula and different locations such as the uterine body, lower uterine segment, uterine isthmus and the upper endocervical canal. cesarean s...

conclusions patient characteristics has important role in suture material degradation. impaired suture hydrolysis in uterus incision may cause abnormal uterine bleeding. it is interesting to demonstrate whethersuture degradation in previous cesarean section has a role in formation of placenta accrete or not .this issue needs more investigation. because there is no similar case in literature, we...

BACKGROUND The aim of this study was to evaluate the outcomes of laparoscopic treatment of women with severe defect of a Cesarean section (CS) scar and Cesarean scar syndrome. MATERIAL AND METHODS A prospective longitudinal study was conducted in 11 women who were treated for Cesarean scar syndrome. Ultrasound examinations were performed transvaginally 1 day before surgery and 6 months after la...

The increasing incidence of cesarean births has become quite controversial. The practice of delivering virtually all women with prior cesarean section by repeat cesarean section is open to debate. To assess the risks and benefits of trial of vaginal birth in patients wlth prior cesarean sectioB, a retrospective review of the patients delivered at the Yamanashi Medical Universlty Hospltal was pe...

Ectopic pregnancy overall is the leading cause of death in the first trimester [1]. The incidence of pregnancy implantation in unusual sites, like cesarean scar is rising due to increased incidence of cesarean sections, pelvic inflammatory disease and dilatation and curettage [2]. Up to 72% of cesarean scar pregnancies occur in women who have had 2 or more cesarean deliveries [3-5]. The dehisce...