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Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women

1
Department of Obstetrics and Pathology of Pregnancy, Independent Public Teaching Hospital No 1 in Lublin, Medical University of Lublin, 20-081 Lublin, Poland
2
Department of Pathomorphology, Independent Public Teaching Hospital No 1 in Lublin, Medical University of Lublin, 20-081 Lublin, Poland
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(22), 11998; https://doi.org/10.3390/ijerph182211998
Received: 20 October 2021 / Revised: 11 November 2021 / Accepted: 12 November 2021 / Published: 15 November 2021
(This article belongs to the Special Issue Obstetrics and Gynecology in Public Health)
The definition of a cesarean scar pregnancy (CSP) is 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). The worldwide prevalence of CSP has been growing rapidly. However, there are no general recommendations regarding prophylaxis and treatment of the abnormalities of the anterior wall of the uterus discovered in a non-pregnant myometrium, or how to deal with existing cases of CSP. We present the latest knowledge, a holistic approach to the biology, histology, imaging, and management concerning post-CS scars based on our cases, which were treated in the Department of Pregnancy and Pathology of Pregnancy in the Medical University of Lublin, Poland. In our study, we present images of tissue samples of areas with a cicatrix in the uterus, and ultrasound and MRI images of CSP. We discuss the advances in the biology of the post-CS scar tissue, the prevention techniques used to repair the scar defect (niche) before the pregnancy, and the treatment of different complications of CSP, such as the rupture of the gravid uterus or the dehiscence of the myometrium. View Full-Text
Keywords: cesarean scar pregnancy; cesarean section; pregnancy; cicatrix; niche; ultrasound scan; management cesarean scar pregnancy; cesarean section; pregnancy; cicatrix; niche; ultrasound scan; management
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MDPI and ACS Style

Stupak, A.; Kondracka, A.; Fronczek, A.; Kwaśniewska, A. Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women. Int. J. Environ. Res. Public Health 2021, 18, 11998. https://doi.org/10.3390/ijerph182211998

AMA Style

Stupak A, Kondracka A, Fronczek A, Kwaśniewska A. Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women. International Journal of Environmental Research and Public Health. 2021; 18(22):11998. https://doi.org/10.3390/ijerph182211998

Chicago/Turabian Style

Stupak, Aleksandra, Adrianna Kondracka, Agnieszka Fronczek, and Anna Kwaśniewska. 2021. "Scar Tissue after a Cesarean Section—The Management of Different Complications in Pregnant Women" International Journal of Environmental Research and Public Health 18, no. 22: 11998. https://doi.org/10.3390/ijerph182211998

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