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Defining a systematic approach to cesarean scar defects

Defining a systematic approach to cesarean scar defects
Since the early 2000s there has been an ever-increasing awareness of cesarean section scar defects. Much of this is due to increased utilization of pelvic ultrasonography and magnetic resonance imaging and improvements in resolution. Perhaps driving this is a significant increase and prevalence in cesarean sections in the United States, followed by issues with postmenstrual spotting, irregular bleeding, pelvic pain, or infertility. Most studies looking at cesarean scar defects in patients with a history of a prior cesarean section note a prevalence between 24% and 70% when a pelvic ultrasound is done and 56% and 84% when a sonohysterogram is performed, with the higher rates more associated with symptomatic patients and increased number of cesarean surgeries (1).

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