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Title: Nomenclature to describe Caesarean section scars examined using ultrasonography
Authors: Naji, O ×
Abdallah, Y
Bij de Vaate, Aj
Smith, A
Pexsters, Anne
Stalder, C
McIndoe, A
Ghaem-Maghami, S
Lees, C
Brölmann, H A M
Huirne, J A F
Timmerman, Dirk
Bourne, Tom #
Issue Date: Mar-2012
Publisher: Blackwell Science
Series Title: Ultrasound in Obstetrics & Gynecology vol:39 issue:3 pages:252-259
Article number: 10.1002/uog.10077
Abstract: Incomplete healing of Caesarean Section (CS) scars is a recognised sequel to this operation, and may be associated with complications in later pregnancies. These can include scar pregnancy, a morbidly adherent placenta, scar dehiscence or rupture. To date there is uncertainty relating to the factors that lead to poor scar healing and how to recognize it. In recent years, there has been an increase in studies using ultrasound that describe scars as deficient, poorly, incompletely or inadequately healed with few data to associate the morphology of the scar with the functional integrity of the lower segment of the uterus. There have been multiple attempts to describe CS scars using ultrasonography. Different terminology, methods and results have been reported; yet there is still no consensus regarding the prevalence, clinical significance or the most appropriate method to describe the appearances of these scars. Therefore, developing a test that can predict the likelihood of women having problems associated with a CS scar is becoming increasingly important. On the other hand, understanding whether the ultrasound appearances of the scar can tell us anything about its integrity is not well supported by the research evidence. In this article we present an overview of ultrasound based definitions and methods used to describe CS scars. We also present information relating to the performance of alternative techniques used to evaluate CS scars. Having examined the current evidence we suggest a classification to describe CS scars using ultrasound so future studies can be meaningfully compared. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.
ISSN: 0960-7692
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Department of Development and Regeneration - miscellaneous (+)
× corresponding author
# (joint) last author

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