- CODEN : IAJPBB
- issn 2349-7750
TITLE:
SONOGRAPHIC EVALUATION OF UTERINE NICHE - A SYSTEMATIC REVIEW
AUTHORS:
Dr Nazish Zulfiqar, Syeda Khadija, Meryem Zulfiqar, Noraiz Ali, Dr Tayyab Mughal
ABSTRACT:
Objective: To describe the role of sonography in diagnosis of uterine niche in patients with previous cesarean section delivery. Method: The English literature (MEDLINE, PUBMED, OBGYN.ONLINELIBRARY) was searched using keywords Niche Sonography, Ithmocele, Cesarean Scar defect Transvaginal sonography. All abstracts were prospective studies between 2000-2020. Relevant articles were assessed. Results: Most selected studies show the prevelance of niche on GIS more than TVS. Not all but majority of women undergone cesarean-section delivery have a triangular anechoic area uterine niche,and complain of postmenopausal bleeding. Conclusion: Ultrasound specially Gel instillation and saline instillation sonography plays a vital role in detection of uterine niches. Majority of females udergone C-section have cesarean scar defect. Keywords: Cicatrix, Scar, Isthmocele, Wound dehiscence, Uterine niche
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