ArticleFacts, views & vision in ObGyn2022
Fantastic niches and where to find them: the current diagnosis and management of uterine niche.
Article in Facts, views & vision in ObGyn, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 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
- 'The good idea': a commentary on a decade of barbed sutures in cesarean surgery.Annals of medicine · 2026Review
- Early Postpartum Sonographic Assessment of the Uterotomy After Successful Vaginal Birth After Caesarean Section: An Observational Cohort Study.Medicina (Kaunas, Lithuania) · 2026Observational
- Effect of cervical changes on the cesarean scar topography after primary cesarean sections: an observational study.BMC pregnancy and childbirth · 2025Observational
- Diagnostic yield of transvaginal ultrasonography versus saline: infused sonohysterography in the evaluation of post-cesarean section uterine niche.Journal of ultrasound · 2025Article
- Transvaginal uterine niche repair: surgical technique and outcome.Facts, views & vision in ObGyn · 2024Article
- Isthmoceles - Accuracy of imaging diagnosis and clinical correlation with histology: A prospective cohort study.Facts, views & vision in ObGyn · 2024Article
- Isthmocele and Infertility.Journal of clinical medicine · 2024Review
- Prevalence, definition, and etiology of cesarean scar defect and treatment of cesarean scar disorder: A narrative review.Reproductive medicine and biologyReview
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Caesarean section (CS) scar niche is a well recognised complication of caesarean delivery and is defined as an indentation at the site of the CS scar with a depth of at least 2mm. Objectives: To review systematically the medical literature regarding the current diagnosis and management of uterine niche. Materials and Methods: We carried out a systematic review using MeSH terms 'niche' OR 'sacculation' OR 'caesarean scar defect' OR 'caesarean section scar' OR 'uterine defect' OR 'isthmocele.' Articles included were peer-reviewed and in English language. Main Outcome Measures: Prevalence, symptoms, diagnosis, pathophysiology and management of uterine niche. Results: CS scar niche is common and, in a subgroup, produces a range of symptoms including post-menstrual bleeding, dyspareunia and subfertility. It may be linked to use of locked sutures during CS closure. Niche repair can be achieved laparoscopically or hysteroscopically and appears to improve symptoms, although solid conclusions regarding fertility outcomes cannot be drawn. Conclusions: CS scar niche is associated with a range of symptoms. Repair may aid subfertile patients and those with post-menstrual spotting. The presence of a niche is probably irrelevant in the absence of symptoms. What is New?: LNG-IUS and surgical repair appear to improve symptoms in those with a niche.
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.