SONOGRAPHIC EVALUATION OF UTERINE NICHE - A SYSTEMATIC REVIEW

Objective: To describe the role of sonography in diagnosis of uterine niche in patients with previous cesarean section delivery.

Method: The English literature (MEDLINE, PUBMED, OBGYN.ONLINELIBRARY) was searched using keywords Niche Sonography, Ithmocele, Cesarean Scar defect Transvaginal sonography. All abstracts were prospective studies between 2000-2020. Relevant articles were assessed.

Results: Most selected studies show the prevelance of niche on GIS more than TVS.

Not all but majority of women undergone cesarean-section delivery have a triangular anechoic area uterine niche,and complain of postmenopausal bleeding.

Conclusion: Ultrasound specially Gel instillation and saline instillation sonography plays a vital role in detection of uterine niches. Majority of females udergone C-section have cesarean scar defect.

Keywords: Cicatrix, Scar, Isthmocele, Wound dehiscence, Uterine niche