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 …

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 …

Post-Caesarean section niche-related impaired fertility: hypothetical mechanisms

J Vissers, W Hehenkamp, CB Lambalk… - Human …, 2020 - academic.oup.com
Caesarean section can result in an indentation of the myometrium at the site of the
Caesarean scar, called a niche. Niches can cause symptoms of abnormal uterine blood …

Prevalence, potential risk factors for development and symptoms related to the presence of uterine niches following Cesarean section: systematic review

AJM Bij de Vaate, LF Van der Voet… - … in Obstetrics & …, 2014 - Wiley Online Library
Objective To review systematically the medical literature reporting on the prevalence of a
niche at the site of a Cesarean section (CS) scar using various diagnostic methods, on …

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 …

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 …

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 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 …

Post-caesarean niche (isthmocele) in uterine scar: an update

V Kulshrestha, N Agarwal, G Kachhawa - The Journal of Obstetrics and …, 2020 - Springer
Uterine niche is one of the emerging complications of caesarean section. With rising
caesarean rates, the caesarean-related iatrogenic complications are also on the rise. These …

[HTML][HTML] Etiology of cesarean uterine scar defect (niche): detailed critical analysis of hypotheses and prevention strategies and peritoneal closure debate

SL Sholapurkar - Journal of clinical medicine research, 2018 - ncbi.nlm.nih.gov
There is an increasing incidence of cesarean scar (CS) defect/niche and its sequelae,
probably not entirely explained by better diagnosis or rising cesarean rate. Discussion of …