Many words and phrases have been used to describe the defect: It is commonly referred to as an isthmocele, because of its usual location at the uterine isthmus, but others have referred to it as a cesarean scar defect or niche, as the defect may be found at the endocervical canal or in the lower uterine segment
During surgery, if the uterus is to be preserved, the bladder is mobilized off the anterior lower uterine segment
and the fistula tract is excised.
These investigators identified a correlation between the anatomic origin of the cancer and individuals with LS: Up to 29% of patients with ECs centered in the lower uterine segment
had LS (26).
This procedure appears to facilitate an appropriate depth of ablation of the endometrium, from a full-thickness ablation of the body of the uterus to a thinner ablation that is desirable in the cornua and lower uterine segment
," said Dr.
The risk of uterine rupture in the presence of a defective scar is related to the degree of thinning of the lower uterine segment
as measured by ultrasound.
Ensure that appropriate surgical technique is used and that the incision in the uterus is not too low in the lower uterine segment
, particularly in CS for obstructed labour and in the second stage of labour.
The intervening midline vertical septum between the uterus, cervix, and upper vagina is resorbed segmentally beginning in the lower uterine segment
and progressing in both directions, (1) as the current case illustrates (Figure 1 and 2).
TABLE 1 Characteristics of patients undergoing lower uterine segment
caesarean section or labour analgesia (and combined) in whom pencil-point ((Whitacre) and cutting-edge (Quincke) spinal needles were used LUSCS (n=30) Pencil- Cutting- P value point edge Patient numbers 18 (60%) 12 (40%) <0.
There was bleeding from the left lower uterine segment
, which was ligated and sutured.
Eduardo Porro was unable to stop severe bleeding after a CS in 1876 and proceeded with a supracervical hysterectomy after placing a piano wire around the lower uterine segment
Washington, Jan 31 (ANI): Researchers have revealed that by measuring the lower uterine segment
(LUS) thickness, doctors can predict uterine scar defects in women who had previous caesarean deliveries, and anticipate which patients are at risk for subsequent uterine rupture if they have a trial of labour.
5 cm, was identified, and gross involvement of the lower uterine segment