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 …

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 …

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 …

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 …

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 …

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 …

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 …

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) …