Currently 1 in 5 women in the world give birth by cesarean section (CS). In about 50% of patients with a history of CS, ultrasound examination reveals a myometrial discontinuity at the site of the scar called a niche. Niche corresponds to a non-healed part of the CS scar. The presence of the niche may lead to several long term complications in non-pregnant women, such as abnormal uterine bleeding, secondary infertility, and dyspareunia. In pregnant women, an incompletely healed CS scar is responsible for the occurrence of life-threatening complications like CS scar rupture, cesarean scar pregnancy, and abnormal invasive placenta.This topic will aim to address the wide range of research covering the etiology of incomplete CS scar healing, clinical examination including CS scar severity assessment, prevention strategies, and management of its long term complications.Research areas may include (but are not limited to) the following:- Etiology of incomplete CS scar healing- Examination techniques including assessment of CS scar niche clinical significance- Prevention of incomplete CS scar healing- Treatment of CS scar related complications, including: bleeding disorders, dyspareunia, infertility, cesarean scar pregnancy, placenta previa accreta with special focus on minimally invasive techniques and long term outcomesWe welcome several types of manuscripts including original articles, review articles, clinical vignettes etc.
Currently 1 in 5 women in the world give birth by cesarean section (CS). In about 50% of patients with a history of CS, ultrasound examination reveals a myometrial discontinuity at the site of the scar called a niche. Niche corresponds to a non-healed part of the CS scar. The presence of the niche may lead to several long term complications in non-pregnant women, such as abnormal uterine bleeding, secondary infertility, and dyspareunia. In pregnant women, an incompletely healed CS scar is responsible for the occurrence of life-threatening complications like CS scar rupture, cesarean scar pregnancy, and abnormal invasive placenta.This topic will aim to address the wide range of research covering the etiology of incomplete CS scar healing, clinical examination including CS scar severity assessment, prevention strategies, and management of its long term complications.Research areas may include (but are not limited to) the following:- Etiology of incomplete CS scar healing- Examination techniques including assessment of CS scar niche clinical significance- Prevention of incomplete CS scar healing- Treatment of CS scar related complications, including: bleeding disorders, dyspareunia, infertility, cesarean scar pregnancy, placenta previa accreta with special focus on minimally invasive techniques and long term outcomesWe welcome several types of manuscripts including original articles, review articles, clinical vignettes etc.