The HysNiche trial: hysteroscopic resection of uterine caesarean scar defect (niche) in patients with abnormal bleeding, a randomised controlled trial

A Vervoort, LF Van der Voet, M Witmer, AL Thurkow… - BMC Women's …, 2015 - Springer
Background A caesarean section (CS) can cause a defect or disruption of the myometrium at
the site of the uterine scar, called a niche. In recent years, an association between a niche …

Hysteroscopic resection of a uterine caesarean scar defect (niche) in women with postmenstrual spotting: a randomised controlled trial

A Vervoort, LF Van der Voet… - … Journal of Obstetrics …, 2018 - Wiley Online Library
Objective To compare the effectiveness of a hysteroscopic niche resection versus no
treatment in women with postmenstrual spotting and a uterine caesarean scar defect …

[HTML][HTML] Comparing levonorgestrel intrauterine system with hysteroscopic niche resection in women with postmenstrual spotting related to a niche in the uterine …

J Zhang, C Zhu, L Yan, Y Wang, Q Zhu, C He… - American Journal of …, 2023 - Elsevier
Background Postmenstrual spotting and chronic pelvic pain after cesarean delivery are
associated with the presence of niches. Levonorgestrel intrauterine system (52 mg) and …

The effect of laparoscopic resection of large niches in the uterine caesarean scar on symptoms, ultrasound findings and quality of life: a prospective cohort study

A Vervoort, J Vissers, WJK Hehenkamp… - … Journal of Obstetrics …, 2018 - Wiley Online Library
Objective To evaluate the effectiveness of a laparoscopic niche resection on niche‐related
symptoms and/or fertility‐related problems, ultrasound findings and quality of life. Design …

Hysteroscopic and laparoscopic management of caesarean scar (niche) defects in symptomatic patients

K Brown, Z Tkacz - Journal of Obstetrics and Gynaecology, 2018 - Taylor & Francis
Introduction: Worldwide, rates of caesarean section are rising. The term 'niche'describes the
presence of an hypoechoic area within the myometrium of the lower uterine segment …

Ultrasound evaluation of the Cesarean scar: relation between a niche and postmenstrual spotting

AJM Bij de Vaate, HAM Brölmann… - … in obstetrics & …, 2011 - Wiley Online Library
Objective To evaluate the relationship between a niche and abnormal uterine bleeding, and
to develop a sonographic classification of niches and evaluate its relationship to abnormal …

Minimally invasive therapy for gynaecological symptoms related to a niche in the caesarean scar: a systematic review

LF Van der Voet, AJ Vervoort… - … Journal of Obstetrics …, 2014 - Wiley Online Library
Background Various therapies are currently used to treat symptoms related to the niche (an
anechoic area) in the caesarean scar, in particular to treat abnormal uterine bleeding (AUB) …

Long‐term complications of caesarean section. The niche in the scar: a prospective cohort study on niche prevalence and its relation to abnormal uterine bleeding

LF van der Voet, AM Bij de Vaate… - … Journal of Obstetrics …, 2014 - Wiley Online Library
Objective To study the prevalence of niches in the caesarean scar in a random population,
and the relationship with postmenstrual spotting and urinary incontinence. Design A …

Effectiveness of laparoscopic niche resection versus expectant management in patients with unexplained infertility and a large uterine caesarean scar defect (uterine …

J Vissers, SJMK Meuleman, RA de Leeuw… - BMJ open, 2023 - bmjopen.bmj.com
Introduction A uterine niche is a defect at the site of the uterine caesarean scar that is
associated with gynaecological symptoms and infertility. Promising results are reported in …

Why do niches develop in Caesarean uterine scars? Hypotheses on the aetiology of niche development

A Vervoort, LB Uittenbogaard… - Human …, 2015 - academic.oup.com
Caesarean section (CS) results in the occurrence of the phenomenon 'niche'. A
'niche'describes the presence of a hypoechoic area within the myometrium of the lower …