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Advanced Ultrasound Technology and Its Application to Gynecologic Practice

A Special Issue of Medicina (ISSN 1648-9144) belonging to the section "Obstetrics and Gynecology".

Deadline for manuscript submissions: 20 September 2026 | Viewed by 2241

Editors


E-Mail Website
Guest Editor
S.I.F.E.S doo Centre for Reproductive Surgery, 1000 Ljubljana, Slovenia
Interests: gynecological ultrasound; hysteroscopy; laparoscopy; reproductive surgery

Special Issue Information

Dear Colleagues,

The rapid technological progress of ultrasound imaging in the field of gynecology has led to the application of new techniques and diagnostic modalities in recent years. Ultrasound imaging in gynecology is a fundamental scientific method to diagnose and cure various gynecological pathologies.

In this Special Issue, we will focus on the development of new techniques and technologies in the field of ultrasound imaging in relation to gynecology. We will focus on new aspects regarding 3D and 4D imaging in uterine and adnexal pathologies, as well as the application of new techniques regarding ultrasound imaging in the assessment of reproductive disorders. We will focus on new tools that distinguish benign from malignant pathology. Information regarding the current guidelines will be discussed.

In this Special Issue, we will include original research studies, randomized trials, narrative comprehensive reviews, systematic reviews, new technique studies, systematic reviews, or expert opinions.

Dr. Panagiotis Peitsidis
Dr. Marco Gergolet
Guest Editors

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Keywords

  • gynecology
  • ultrasound
  • uterus
  • adnexa
  • pelvis
  • diagnosis

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Published Papers (1 paper)

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Research

21 pages, 2020 KB  
Article
Determinants of First-Trimester Residual Myometrial Thickness After Previous Cesarean Delivery: A Retrospective Cohort Study
by Coşkun Orhaner and Bilge Çetinkaya Demir
Medicina 2026, 62(7), 1384; https://doi.org/10.3390/medicina62071384 - 17 Jul 2026
Viewed by 351
Abstract
Background and Objectives: To investigate factors associated with first-trimester residual myometrial thickness (RMT) at the site of a previous cesarean section scar and to evaluate the relationship between RMT and selected pregnancy and neonatal outcomes. Materials and Methods: This retrospective cohort study included [...] Read more.
Background and Objectives: To investigate factors associated with first-trimester residual myometrial thickness (RMT) at the site of a previous cesarean section scar and to evaluate the relationship between RMT and selected pregnancy and neonatal outcomes. Materials and Methods: This retrospective cohort study included 80 pregnant women with at least one previous CS who attended the Department of Obstetrics and Gynecology, Uludağ University Faculty of Medicine, between July 2017 and December 2018. RMT at the cesarean scar site was measured by transvaginal ultrasonography (TVUS) during the first trimester. After exclusion of 15 women because of incomplete records or missing follow-up data, 65 patients were included in the final analysis. Participants were categorized according to first-trimester RMT as a thin scar group (RMT ≤ 8 mm, n = 37) and a control group (RMT > 8 mm, n = 28). Demographic characteristics, obstetric history, cesarean-related variables, postpartum hemorrhage (PPH) history, ultrasonographic findings, and neonatal outcomes were analyzed. Statistical analyses included Student’s t-test, chi-square test, one-way analysis of variance (ANOVA), and Spearman correlation analysis. Results: Women with thinner residual myometrium had significantly higher parity (p = 0.003), a greater number of previous cesarean deliveries (p = 0.016), and a higher frequency of previous PPH (p = 0.037) compared with controls. Mean RMT was significantly lower in women with parity ≥ 2 than in women with parity 1 (6.39 ± 2.76 mm vs. 8.51 ± 2.81 mm, p = 0.003). Similarly, women with a history of PPH demonstrated significantly lower RMT than those without such a history (5.67 ± 2.11 mm vs. 7.82 ± 2.98 mm, p = 0.037). Correlation analysis revealed a moderate inverse relationship between the number of previous cesarean deliveries and RMT (r = −0.463, p < 0.001). No significant group differences were observed regarding cervical length, placental location, gestational age at delivery, 5 min Apgar score, or birth weight. Conclusions: First-trimester RMT was significantly associated with parity, previous cesarean delivery number, and a history of PPH. Among the evaluated variables, the number of previous cesarean deliveries demonstrated the strongest independent association with reduced RMT. These findings suggest that early transvaginal ultrasonographic assessment of RMT may serve as a useful sonographic marker of cesarean scar morphology and healing characteristics in pregnancies following cesarean delivery. Larger prospective studies are needed to determine the clinical significance of first-trimester RMT measurements for subsequent obstetric outcomes. Full article
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