Routine revision of uterine scar after cesarean section: Has it ever been necessary?

T. Silberstein, A. Wiznitzer*, M. Katz, M. Friger, M. Mazor

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Although a trial of labor after cesarean section (VBAC) is successful and relatively safe, few studies have directly addressed the necessity of routine transcervical revision of uterine scar after prior cesarean section. We performed a longitudinal study of 3469 women who had VBAC. In all patients, uterine scar integrity was examined immediately after placental expulsion. The detection rate of uterine scar dehiscence or rupture was 0.23% (8/3469). Only one woman with complete uterine rupture needed immediate laparotomy for severe hemorrhage. Out of seven patients (0.2%), who had evidence of uterine dehiscence, three underwent explorative laparotomy. In conclusion, the potential benefit of routine examination of uterine scar after VBAC is doubtful. Transcervical revision should be performed only in symptomatic patients.

Original languageEnglish
Pages (from-to)29-32
Number of pages4
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume78
Issue number1
DOIs
StatePublished - 1 May 1998
Externally publishedYes

Keywords

  • Dehiscence
  • Rupture
  • Transcervical revision
  • Uterine scar
  • VBAC

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