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Assessing lateral uterine wall defects and residual myometrial thickness after cesarean section

European Journal of Obstetrics & Gynecology and Reproductive Biology Jan 28, 2021

Naimi AA, Mouzakiti N, Wolnicki B, et al. - In women with a history of cesarean section, although less common, lateral wall ruptures are associated with more complications than anterior wall ruptures. Given the considered utility of residual myometrial thickness (RMT) for assessing the probability of ruptures, researchers here investigated the utility of OmniView (a sonographic reslicing technique) in examining the lateral uterine wall after cesarean section and determining the correlation between lateral and anterior wall RMT using OmniView and sagittal two-dimensional ultrasound. They conducted a cross-sectional study determining the changes in both the anterior and lateral uterine wall in women with a history of cesarean section in the past 12-18 months. A total of 208 patients were recruited. Among these, 79% exhibited lateral uterine wall defects. Observations overall support the utility of OmniView to assess lateral uterine wall defects, and suggest OV-RMT as a reproducible and reliable method for quantifying this assessment. On the coronal plane, the RMT was independently more intact relative to that noted on the sagittal plane, which might contribute to the lower incidence of lateral ruptures.

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