ReviewJournal of obstetrics and gynaecology of India2020
Post-caesarean Niche (Isthmocele) in Uterine Scar: An Update.
Review in Journal of obstetrics and gynaecology of India, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06503627 (Incidence of Caesarean Scar Defect in Cases of Cesarean Section With and Without Bladder Flap Dissection), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Incidence of Caesarean Scar Defect in Cases of Cesarean Section With and Without Bladder Flap Dissection
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Exploring uterine niche: a systemic review on secondary infertility rates, pathophysiological correlations, impact on assisted reproduction technology (ART), and the efficacy of surgical interventions.BMC pregnancy and childbirth · 2025Pooled it
- Association of caesarean scar defect with risk of abnormal uterine bleeding: results from meta-analysis.BMC women's health · 2024Pooled it
- Is cesarean scar defect becoming history? The effect of uterotomy closure.Revista da Associacao Medica Brasileira (1992) · 2025Trial
- Impact of obstetric and surgical factors on isthmocele development: insights from a prospective cohort study.Archives of gynecology and obstetrics · 2026Article
- Clinical Characteristics and Risk Factors of Coexisting Endometrial Lesions in Patients with Cesarean Scar Defect Undergoing Hysteroscopic Resection for Prolonged Menstruation.International journal of women's health · 2026Article
- Barbed Double-Needle Suture for Cesarean Section Uterine Incision Closure: Postoperative Pain and 12-Month Scar Outcomes.Journal of pain research · 2026Article
- Treatment Outcomes of Excisional Versus Conservative Surgery for Endogenous Cesarean Scar Pregnancy: A Retrospective Cohort Study.Obstetrics and gynecology international · 2026Article
- Isthmocele risk in repeated cesarean: the diagnostic and clinical role of morphometric parameters.Archives of gynecology and obstetrics · 2025Article
- Effect of cervical changes on the cesarean scar topography after primary cesarean sections: an observational study.BMC pregnancy and childbirth · 2025Observational
- Problems with Classifying Type 3 Uterine Fibroids as Submucous in the 2018 FIGO Revisions.Journal of obstetrics and gynaecology of India · 2025Article
- Development of the Er-Kay Classification: A Novel Volume-Based Assessment of Cesarean Scar Defects and Their Association with Abnormal Uterine Bleeding.Journal of clinical medicine · 2025Article
- Single- vs double-layer uterine closure of the cesarean scar in niche development: the Nicest Study.AJOG global reports · 2025Article
- Hysteroscopic Management of Symptomatic Cesarean Scar Diverticulum in Patients Undergoing Frozen-Thawed Embryo Transfer: Impact on Clinical Pregnancy Rates and Pregnancy Complications.Reproductive sciences (Thousand Oaks, Calif.) · 2025Article
- Diagnostic yield of transvaginal ultrasonography versus saline: infused sonohysterography in the evaluation of post-cesarean section uterine niche.Journal of ultrasound · 2025Article
- First Balkan Brief Illness Perception Questionnaire (IPQ-B) among high-risk pregnancies.PloS one · 2025Article
- Cesarean section history affects the outcomes of frozen embryo transfer in IVF/ICSI: a retrospective study.Frontiers in surgery · 2025Article
- Isthmocele‑an iatrogenic pathology: A prospective study in a tertiary unit.Biomedical reports · 2025Article
- Analysis of outcomes of laparotomic, laparoscopic, and hysteroscopic symptomatic ısthmocele (niche) repair in Turkish women.Revista da Associacao Medica Brasileira (1992) · 2025Article
- Intrauterine Adhesion-Induced Septated Amniotic Cavity: Ultrasonographic Findings in Second and Third Trimesters.Diagnostics (Basel, Switzerland) · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Uterine niche is one of the emerging complications of caesarean section. With rising caesarean rates, the caesarean-related iatrogenic complications are also on the rise. These include placenta accreta, scar ectopic pregnancy and uterine niche which is a newer entity being described in the recent literature. Uterine niche, also described as uterine isthmocele, caesarean scar defect and diverticulum, is an iatrogenic defect in the myometrium at the site of previous caesarean scar due to defective tissue healing. Patients may have varied symptoms including abnormal uterine bleeding, post-menstrual spotting and infertility, though many women may be asymptomatic and diagnosed incidentally. Diagnosis is made radiologically by transvaginal sonography, saline instillation sonohysterography or magnetic resonance imaging. Occurrence of niche may be prevented by using correct surgical technique during caesarean. Patients may be managed medically; however, subfertility and persistent symptoms may require surgical correction either by hysteroscopic resection or transabdominal or transvaginal repair. This mini-review comprehensively covers the potential risk factors, clinical presentation, diagnosis and management of this increasingly encountered condition due to rising caesarean rates.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.