CHARACTERISTICS OF 4 WEEK POST CESAREAN ISTHMOCELE AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL

Mai Trọng Hưng1, Lê Thị Anh Đào2,, Nguyễn Hương Trà1
1 Hanoi Obstetrics and Pediatrics Hospital
2 Hanoi Medical University

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Abstract

Objectives: Features of cesarean scar defect after 4 week - cesarean section at Hanoi Obstetrics and Gynecology Hospital. Methods: This prospective study  included 136 patients with their first cesarean section at Hanoi Obstetrics and Gynecology Hospital from July 2020 to July 2021. Results: The prevalence of isthmocele after 4 week - cesarean section is 39,7%. Most of cases are small scar. The surgical time in the group of no isthmocele patients and isthmocele was 6.38 ± 3.5 and 10.33 ± 1.21, respectively. The prevalence of cesarean scar defect in the group of single-layer closure of the hysterotomy incision was 49.3% and the group of double-layer closure was 30.9%. Conclusion: Longer surgery time increased the risk for isthmocele. Prolonged labor duration increased the rate of isthmocele. The risk of isthmocele in the double-layer closure of the hysterotomy incision is higher than those in the sinlge-layer closure.

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References

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