REPRODUCTIVE CONSEQUENCES FOLLOWING LAPAROSCOPIC REMOVAL OF SYMPTOMATIC NICHES IN UTERINE CAESAREAN SCARS
Main Article Content
Keywords
Caesarean scar, Infertility, Laparoscopic resection, Niche
Abstract
Background: Caesarean section rates had raised recognition of related problems, including the development of a caesarean scar niche. Niches could be related to subfertility and poor reproductive results. Laparoscopic resection of niches is widely accepted.
Purpose: To assess reproductive results 2 years following laparoscopic niche resections on females with an intention to become pregnant.
Methods: This prospective cohort study included (80) women with an intention for pregnancy who underwent a laparoscopic niche resection from July 2018 to July 2021 were involved. A laparoscopic niche resection has been carried out with hysteroscopic instructions. The ongoing pregnancy rate was the 1ry result. Secondary outcomes included live birth rate, miscarriage rate, and ectopic pregnancy
Results: The majority (72.5%) of the females surveyed stated postmenstrual spotting, while 31.25% revealed dysmenorrheal. There were statistically significant variances between women with and without infertility regarding parity, previous failed ART (p<0.001), and the existence of intrauterine fluid (p=0.03). At the 2-year follow-up, 47/80 (58.75%) of the women were pregnant, 38/80 (47.5%) of the women had live births. The total group's mean RMT increased from 2.74 ± 1.3 at baseline to 6.64 ± 0.28 (p<0.01). The average depth of the niche lowered from 14.14 ± 12.25 to 8.42 ± 1.13 (p < 0.01).
Conclusions: The reproductive results in females with and without prior infertility issues who go through resection of a large niche are very announcing and comparable in both populations.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Ahmed Dabash Abdel Lateef
Department of Obstetrics and Gynecology, Faculty of Medicine, Suez University
Ahmad Ali Mohamed Ahmad
Department of Obstetrics and Gynecology, Faculty of Medicine, Suez University
Osama Ahmed Mohamed Ali
Department of General Surgery, Faculty of Medicine, Suez University
Yahia Ali Ahmed
Department of Obstetrics and Gynecology, Faculty of Medicine, South Valley University.