Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women

The definition of a cesarean scar pregnancy (CSP) is the localization of the gestational sac (GS) in the cicatrix tissue, which is created in the front wall of the uterus after a previous cesarean section (CS). The worldwide prevalence of CSP has been growing rapidly. However, there are no general r...

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Autores principales:	Aleksandra Stupak, Adrianna Kondracka, Agnieszka Fronczek, Anna Kwaśniewska
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cesarean scar pregnancy cesarean section pregnancy cicatrix niche ultrasound scan Medicine R
Acceso en línea:	https://doaj.org/article/8f7e92cc986d46aeaa1f0342c102db91
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spelling	oai:doaj.org-article:8f7e92cc986d46aeaa1f0342c102db912021-11-25T17:50:10ZScar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women10.3390/ijerph1822119981660-46011661-7827https://doaj.org/article/8f7e92cc986d46aeaa1f0342c102db912021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11998https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The definition of a cesarean scar pregnancy (CSP) is the localization of the gestational sac (GS) in the cicatrix tissue, which is created in the front wall of the uterus after a previous cesarean section (CS). The worldwide prevalence of CSP has been growing rapidly. However, there are no general recommendations regarding prophylaxis and treatment of the abnormalities of the anterior wall of the uterus discovered in a non-pregnant myometrium, or how to deal with existing cases of CSP. We present the latest knowledge, a holistic approach to the biology, histology, imaging, and management concerning post-CS scars based on our cases, which were treated in the Department of Pregnancy and Pathology of Pregnancy in the Medical University of Lublin, Poland. In our study, we present images of tissue samples of areas with a cicatrix in the uterus, and ultrasound and MRI images of CSP. We discuss the advances in the biology of the post-CS scar tissue, the prevention techniques used to repair the scar defect (niche) before the pregnancy, and the treatment of different complications of CSP, such as the rupture of the gravid uterus or the dehiscence of the myometrium.Aleksandra StupakAdrianna KondrackaAgnieszka FronczekAnna KwaśniewskaMDPI AGarticlecesarean scar pregnancycesarean sectionpregnancycicatrixnicheultrasound scanMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11998, p 11998 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cesarean scar pregnancy cesarean section pregnancy cicatrix niche ultrasound scan Medicine R
spellingShingle	cesarean scar pregnancy cesarean section pregnancy cicatrix niche ultrasound scan Medicine R Aleksandra Stupak Adrianna Kondracka Agnieszka Fronczek Anna Kwaśniewska Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women
description	The definition of a cesarean scar pregnancy (CSP) is the localization of the gestational sac (GS) in the cicatrix tissue, which is created in the front wall of the uterus after a previous cesarean section (CS). The worldwide prevalence of CSP has been growing rapidly. However, there are no general recommendations regarding prophylaxis and treatment of the abnormalities of the anterior wall of the uterus discovered in a non-pregnant myometrium, or how to deal with existing cases of CSP. We present the latest knowledge, a holistic approach to the biology, histology, imaging, and management concerning post-CS scars based on our cases, which were treated in the Department of Pregnancy and Pathology of Pregnancy in the Medical University of Lublin, Poland. In our study, we present images of tissue samples of areas with a cicatrix in the uterus, and ultrasound and MRI images of CSP. We discuss the advances in the biology of the post-CS scar tissue, the prevention techniques used to repair the scar defect (niche) before the pregnancy, and the treatment of different complications of CSP, such as the rupture of the gravid uterus or the dehiscence of the myometrium.
format	article
author	Aleksandra Stupak Adrianna Kondracka Agnieszka Fronczek Anna Kwaśniewska
author_facet	Aleksandra Stupak Adrianna Kondracka Agnieszka Fronczek Anna Kwaśniewska
author_sort	Aleksandra Stupak
title	Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women
title_short	Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women
title_full	Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women
title_fullStr	Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women
title_full_unstemmed	Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women
title_sort	scar tissue after a cesarean section—the management of different complications in pregnant women
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/8f7e92cc986d46aeaa1f0342c102db91
work_keys_str_mv	AT aleksandrastupak scartissueafteracesareansectionthemanagementofdifferentcomplicationsinpregnantwomen AT adriannakondracka scartissueafteracesareansectionthemanagementofdifferentcomplicationsinpregnantwomen AT agnieszkafronczek scartissueafteracesareansectionthemanagementofdifferentcomplicationsinpregnantwomen AT annakwasniewska scartissueafteracesareansectionthemanagementofdifferentcomplicationsinpregnantwomen
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Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women

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