Evidence map›Paper›PMID 35386374›Full record

ArticleReproductive medicine and biology

Histopathological evaluation of cesarean scar defect in women with cesarean scar syndrome.

Asuka Higuchi, Shunichiro Tsuji, Yuri Nobuta, Akiko Nakamura, Daisuke Katsura, Tsukuru Amano, Fuminori Kimura, Satoshi Tanimura, Takashi Murakami

Open access · goldAbstract read
In one paragraph

Article in Reproductive medicine and biology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  12. Review
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  14. Hematometra within a cesarean scar defect in a perimenopausal woman: A case report.The journal of obstetrics and gynaecology research · 2025
    Article
  15. Article
  16. Article
  17. Article
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  19. Article
  20. Impact of cesarean scar defect on reproductive outcomes after assisted reproductive technology.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Asuka HiguchiDepartment of Obstetrics and Gynecology Shiga University of Medical Science Otsu Shiga Japan.
Shunichiro TsujiDepartment of Obstetrics and Gynecology Shiga University of Medical Science Otsu Shiga Japan.ORCID https://orcid.org/0000-0003-3945-6817
Yuri NobutaDepartment of Obstetrics and Gynecology Shiga University of Medical Science Otsu Shiga Japan.
Akiko NakamuraDepartment of Obstetrics and Gynecology Shiga University of Medical Science Otsu Shiga Japan.
Daisuke KatsuraDepartment of Obstetrics and Gynecology Shiga University of Medical Science Otsu Shiga Japan.
Tsukuru AmanoDepartment of Obstetrics and Gynecology Shiga University of Medical Science Otsu Shiga Japan.
Fuminori KimuraDepartment of Obstetrics and Gynecology Shiga University of Medical Science Otsu Shiga Japan.
Satoshi TanimuraDepartment of Obstetrics and Gynecology Toyama Central Prefectural Hospital Toyama Japan.
Takashi MurakamiDepartment of Obstetrics and Gynecology Shiga University of Medical Science Otsu Shiga Japan.
Shiga University of Medical Science · JPToyama Prefectural Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To explore the histopathological findings of cesarean scar defect (CSD) and the immunological component in women with cesarean scar syndrome (CSS). Methods: This retrospective study was conducted in a university hospital and a public hospital. A total of 63 patients with secondary infertility due to CSS who underwent laparoscopic resection of the CSD lesion were enrolled (CSS group), and 21 patients who underwent hysterectomy with a history of cesarean section were enrolled as control (non-CSS group). We compared the differences in histopathological findings of CSD lesions by hematoxylin and eosin staining and immunohistochemistry for CD3, CD20, CD56, CD68, CD138, myeloperoxidase, and tryptase between the two groups. Results: The frequency of presence of endometrium on the CSD surface was significantly lower ( Conclusions: This study suggested that the absence of endometrium, presence of adenomyosis, and chronic inflammation in CSD contributes to secondary infertility due to CSS.

Indexed as

cesarean sectionendometriosisendometriuminfertilityinflammation

Identifiers

PMID35386374
PMCPMC8967299
OpenAlexW4200422093

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.