Evaluation of the Cesarean Scar Niche In Women With Secondary Infertility Undergoing ICSI Using 2D Sonohysterography Versus 3D Sonohysterography and Setting a Standard Criteria; Alalfy Simple Rules for Scar Assessment by Ultrasound To Prevent Health Problems for Women
Mahmoud Alalfy,1 Omneya M Osman,2 Sameh Salama,1 Yossra Lasheen,2 Mahmoud Soliman,2 Mohamed Fikry,2 Mohamed Ramadan,2 Doaaa Alaa,2 Shaimaa Elshemy,2 Rana Abdella2 1Reproductive Health and Family Planning Department, National Research Centre, Dokki, Cairo, Egypt; 2Obstetrics and Gynecology Department...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2020-11-01
|
| Series: | International Journal of Women's Health |
| Subjects: | |
| Online Access: | https://www.dovepress.com/evaluation-of-the-cesarean-scar-niche-in-women-with-secondary-infertil-peer-reviewed-article-IJWH |
| _version_ | 1818119402192633856 |
|---|---|
| author | Alalfy M Osman OM Salama S Lasheen Y Soliman M Fikry M Ramadan M Alaa D Elshemy S Abdella R |
| author_facet | Alalfy M Osman OM Salama S Lasheen Y Soliman M Fikry M Ramadan M Alaa D Elshemy S Abdella R |
| author_sort | Alalfy M |
| collection | DOAJ |
| description | Mahmoud Alalfy,1 Omneya M Osman,2 Sameh Salama,1 Yossra Lasheen,2 Mahmoud Soliman,2 Mohamed Fikry,2 Mohamed Ramadan,2 Doaaa Alaa,2 Shaimaa Elshemy,2 Rana Abdella2 1Reproductive Health and Family Planning Department, National Research Centre, Dokki, Cairo, Egypt; 2Obstetrics and Gynecology Department, Kasr Alainy, Faculty of Medicine, Cairo University, Egypt, Algezeera Hospital, EgyptCorrespondence: Mahmoud AlalfyReproductive Health and Family Planning Department, National Research Centre, P.O: 12622, Affiliation ID: 60014618, Dokki, Cairo, EgyptTel +20 1002611058Email mahmoudalalfy@ymail.comBackground: Many expressions were used to define the defect that is seen by ultrasound after cesarean section (CS) namely scar defect, niche, isthmocele, uterine pouch or diverticula.Objective: To compare the accuracy of 2 dimensional sonohysterography (2D SHG) to 3 dimensional sonohysterography (3D SHG) in evaluating cesarean section uterine scar depth (D), base width (BW), width (W) and residual myometrial thickness (RMT) in women with secondary infertility and establishment of a standard criteria; Alalfy simple rules for scar assessment.Patients and Methods: This was an observational cross-sectional comparative study that was conducted on women who presented with secondary infertility and were candidates for intracytoplasmic sperm injection (ICSI) and giving a history of a previous cesarean section. Assessment of uterine scar in each woman was performed using 2D transvaginal ultrasound with sonohysterography (SHG) followed by 3D transvaginal with SHG with evaluation of niche depth, width, RMT, niche BW and RMT/depth ratio. The study was conducted at Algezeera hospital, Egypt.Results: The present study revealed that 3D ultrasound with SHG is superior in evaluation of the RMT and niche width prior to ICSI providing better characterization of the scar niche.Conclusion: Scar niche should be assessed by a combined integrated 2D SHG and 3D SHG scan with the specific geometrical and anatomical considerations, Alalfy simple rules for scar niche assessment that involvemeasurement of niche depth, (Base width) BW, width, RMT and RMT/depth ratio in sagittal plane, RMT in coronal plane / niche width in coronal plane ratio (ratio less than 1 denotes scar weakness with more liability for dehiscence).Trial Registration: Clinical Trials.gov Id NCT04076904.Keywords: cesarean, niche, two dimensional, 2D, three-dimensional, 3D, sonohysterography, SHG |
| first_indexed | 2024-12-11T05:09:38Z |
| format | Article |
| id | doaj.art-54a34d11291a4d34821abc8e6279fc40 |
| institution | Directory Open Access Journal |
| issn | 1179-1411 |
| language | English |
| last_indexed | 2024-12-11T05:09:38Z |
| publishDate | 2020-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of Women's Health |
| spelling | doaj.art-54a34d11291a4d34821abc8e6279fc402022-12-22T01:19:57ZengDove Medical PressInternational Journal of Women's Health1179-14112020-11-01Volume 1296597458899Evaluation of the Cesarean Scar Niche In Women With Secondary Infertility Undergoing ICSI Using 2D Sonohysterography Versus 3D Sonohysterography and Setting a Standard Criteria; Alalfy Simple Rules for Scar Assessment by Ultrasound To Prevent Health Problems for WomenAlalfy MOsman OMSalama SLasheen YSoliman MFikry MRamadan MAlaa DElshemy SAbdella RMahmoud Alalfy,1 Omneya M Osman,2 Sameh Salama,1 Yossra Lasheen,2 Mahmoud Soliman,2 Mohamed Fikry,2 Mohamed Ramadan,2 Doaaa Alaa,2 Shaimaa Elshemy,2 Rana Abdella2 1Reproductive Health and Family Planning Department, National Research Centre, Dokki, Cairo, Egypt; 2Obstetrics and Gynecology Department, Kasr Alainy, Faculty of Medicine, Cairo University, Egypt, Algezeera Hospital, EgyptCorrespondence: Mahmoud AlalfyReproductive Health and Family Planning Department, National Research Centre, P.O: 12622, Affiliation ID: 60014618, Dokki, Cairo, EgyptTel +20 1002611058Email mahmoudalalfy@ymail.comBackground: Many expressions were used to define the defect that is seen by ultrasound after cesarean section (CS) namely scar defect, niche, isthmocele, uterine pouch or diverticula.Objective: To compare the accuracy of 2 dimensional sonohysterography (2D SHG) to 3 dimensional sonohysterography (3D SHG) in evaluating cesarean section uterine scar depth (D), base width (BW), width (W) and residual myometrial thickness (RMT) in women with secondary infertility and establishment of a standard criteria; Alalfy simple rules for scar assessment.Patients and Methods: This was an observational cross-sectional comparative study that was conducted on women who presented with secondary infertility and were candidates for intracytoplasmic sperm injection (ICSI) and giving a history of a previous cesarean section. Assessment of uterine scar in each woman was performed using 2D transvaginal ultrasound with sonohysterography (SHG) followed by 3D transvaginal with SHG with evaluation of niche depth, width, RMT, niche BW and RMT/depth ratio. The study was conducted at Algezeera hospital, Egypt.Results: The present study revealed that 3D ultrasound with SHG is superior in evaluation of the RMT and niche width prior to ICSI providing better characterization of the scar niche.Conclusion: Scar niche should be assessed by a combined integrated 2D SHG and 3D SHG scan with the specific geometrical and anatomical considerations, Alalfy simple rules for scar niche assessment that involvemeasurement of niche depth, (Base width) BW, width, RMT and RMT/depth ratio in sagittal plane, RMT in coronal plane / niche width in coronal plane ratio (ratio less than 1 denotes scar weakness with more liability for dehiscence).Trial Registration: Clinical Trials.gov Id NCT04076904.Keywords: cesarean, niche, two dimensional, 2D, three-dimensional, 3D, sonohysterography, SHGhttps://www.dovepress.com/evaluation-of-the-cesarean-scar-niche-in-women-with-secondary-infertil-peer-reviewed-article-IJWHcesarean – niche – 2d – 3d – shg |
| spellingShingle | Alalfy M Osman OM Salama S Lasheen Y Soliman M Fikry M Ramadan M Alaa D Elshemy S Abdella R Evaluation of the Cesarean Scar Niche In Women With Secondary Infertility Undergoing ICSI Using 2D Sonohysterography Versus 3D Sonohysterography and Setting a Standard Criteria; Alalfy Simple Rules for Scar Assessment by Ultrasound To Prevent Health Problems for Women International Journal of Women's Health cesarean – niche – 2d – 3d – shg |
| title | Evaluation of the Cesarean Scar Niche In Women With Secondary Infertility Undergoing ICSI Using 2D Sonohysterography Versus 3D Sonohysterography and Setting a Standard Criteria; Alalfy Simple Rules for Scar Assessment by Ultrasound To Prevent Health Problems for Women |
| title_full | Evaluation of the Cesarean Scar Niche In Women With Secondary Infertility Undergoing ICSI Using 2D Sonohysterography Versus 3D Sonohysterography and Setting a Standard Criteria; Alalfy Simple Rules for Scar Assessment by Ultrasound To Prevent Health Problems for Women |
| title_fullStr | Evaluation of the Cesarean Scar Niche In Women With Secondary Infertility Undergoing ICSI Using 2D Sonohysterography Versus 3D Sonohysterography and Setting a Standard Criteria; Alalfy Simple Rules for Scar Assessment by Ultrasound To Prevent Health Problems for Women |
| title_full_unstemmed | Evaluation of the Cesarean Scar Niche In Women With Secondary Infertility Undergoing ICSI Using 2D Sonohysterography Versus 3D Sonohysterography and Setting a Standard Criteria; Alalfy Simple Rules for Scar Assessment by Ultrasound To Prevent Health Problems for Women |
| title_short | Evaluation of the Cesarean Scar Niche In Women With Secondary Infertility Undergoing ICSI Using 2D Sonohysterography Versus 3D Sonohysterography and Setting a Standard Criteria; Alalfy Simple Rules for Scar Assessment by Ultrasound To Prevent Health Problems for Women |
| title_sort | evaluation of the cesarean scar niche in women with secondary infertility undergoing icsi using 2d sonohysterography versus 3d sonohysterography and setting a standard criteria alalfy simple rules for scar assessment by ultrasound to prevent health problems for women |
| topic | cesarean – niche – 2d – 3d – shg |
| url | https://www.dovepress.com/evaluation-of-the-cesarean-scar-niche-in-women-with-secondary-infertil-peer-reviewed-article-IJWH |
| work_keys_str_mv | AT alalfym evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT osmanom evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT salamas evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT lasheeny evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT solimanm evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT fikrym evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT ramadanm evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT alaad evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT elshemys evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen AT abdellar evaluationofthecesareanscarnicheinwomenwithsecondaryinfertilityundergoingicsiusing2dsonohysterographyversus3dsonohysterographyandsettingastandardcriteriaalalfysimplerulesforscarassessmentbyultrasoundtopreventhealthproblemsforwomen |