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) …

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 …

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 …

Definition and criteria for diagnosing cesarean scar disorder

SJMK Meuleman, A Murji, T van den Bosch… - JAMA network …, 2023 - jamanetwork.com
Importance Approximately 60% of women develop a uterine niche after a cesarean delivery
(CD). A niche is associated with various gynecological symptoms including abnormal …

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 …

Surgical management of niche, isthmocele, uteroperitoneal fistula, or cesarean scar defect: a critical rebirth in the medical literature

C Nezhat, R Falik, A Li - Fertility and sterility, 2017 - fertstert.org
The rate of cesarean delivery is 30% or more across the United States, and an estimated
one to three quarters of cesarean delivery patients may develop a defect in their uterine …

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 …

Single-versus double-layer closure of the caesarean (uterine) scar in the prevention of gynaecological symptoms in relation to niche development–the 2Close study: a …

SI Stegwee, IPM Jordans, LF Van Der Voet… - BMC pregnancy and …, 2019 - Springer
Background Double-layer compared to single-layer closure of the uterus after a caesarean
section (CS) leads to a thicker myometrial layer at the site of the CS scar, also called …

Clinical success rate of extensive hysteroscopic cesarean scar defect excision and correlation to histologic findings

M Shapira, R Mashiach, N Meller, H Watad… - Journal of Minimally …, 2020 - Elsevier
Abstract Study Objective Cesarean scar defect (CSD) is often associated with postmenstrual
bleeding, infertility, and pain. Hysteroscopic CSD repair was described in the past, mainly as …