Abstrakt

The Management of Various Complications in Pregnant Women: Scar Tissue Following a Cesarean Section assisted childbirth

Arina Grand

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), is what constitutes a Cesarean Scar Pregnancy (CSP). CSP is becoming more common all over the world at an alarming rate. However, there are no general recommendations regarding the prevention and treatment of abnormalities of the anterior wall of the uterus found in a neither nonpregnant myometrium, nor are there any recommendations regarding the management of CSP cases that are already present. Based on our cases, which were treated in the Department of Pregnancy and Pathology of Pregnancy at the Medical University of Lublin, Poland, we present the most recent information and a comprehensive approach to the biology, histology, imaging, and management of post-CS scars. We present ultrasound and MRI images of CSP, as well as tissue samples from uterine regions with a cicatrix. The treatment of various CSP complications, such as the rupture of the gravid uterus or the dehiscence of the myometrium, as well as advancements in the biology of post-CS scar tissue and the preventative measures taken to repair the scar defect (niche) prior to pregnancy are the subjects of our discussion.

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), is what constitutes a Cesarean Scar Pregnancy (CSP). CSP is becoming more common all over the world at an alarming rate. However, there are no general recommendations regarding the prevention and treatment of abnormalities of the anterior wall of the uterus found in a neither nonpregnant myometrium, nor are there any recommendations regarding the management of CSP cases that are already present. Based on our cases, which were treated in the Department of Pregnancy and Pathology of Pregnancy at the Medical University of Lublin, Poland, we present the most recent information and a comprehensive approach to the biology, histology, imaging, and management of post-CS scars. We present ultrasound and MRI images of CSP, as well as tissue samples from uterine regions with a cicatrix. The treatment of various CSP complications, such as the rupture of the gravid uterus or the dehiscence of the myometrium, as well as advancements in the biology of post-CS scar tissue and the preventative measures taken to repair the scar defect (niche) prior to pregnancy are the subjects of our discussion.