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Vol 93, No 7 (2022)
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Published online: 2022-07-29
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Perfect cesarean section — the Holy Grail of obstetricians

Michal Pomorski1, Mariusz Zimmer1
DOI: 10.5603/GP.2022.0073
Pubmed: 35942722
Ginekol Pol 2022;93(7):523-524.
  1. 2nd Department of Gynecology and Obstetrics, Wroclaw Medical University, Wroclaw, Poland

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Vol 93, No 7 (2022)
Published online: 2022-07-29


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Perfect cesarean section — the Holy Grail of obstetricians


Ginekologia Polska


Vol 93, No 7 (2022)

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Other materials agreed with the Editors



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Ginekol Pol 2022;93(7):523-524.


Michal Pomorski
Mariusz Zimmer

References (22)
  1. Betran AP, Ye J, Moller AB, et al. Trends and projections of caesarean section rates: global and regional estimates. BMJ Glob Health. 2021; 6(6).
  2. Handa VL, Blomquist JL, Knoepp LR, et al. Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth. Obstet Gynecol. 2011; 118(4): 777–784.
  3. Sliwa J, Kryza-Ottou A, Grobelak J, et al. Anterior abdominal fixation - a new option in the surgical treatment of pelvic organ prolapse. Ginekol Pol. 2021; 92(7): 471–474.
  4. Feduniw S, Warzecha D, Szymusik I, et al. Epidemiology, prevention and management of early postpartum hemorrhage - a systematic review. Ginekol Pol. 2020; 91(1): 38–44.
  5. Kupiec A, Zwierzchowski J, Kowal-Janicka J, et al. The analgesic efficiency of transversus abdominis plane (TAP) block after caesarean delivery. Ginekol Pol. 2018; 89(8): 421–424.
  6. Molina G, Weiser T, Lipsitz S, et al. Relationship Between Cesarean Delivery Rate and Maternal and Neonatal Mortality. JAMA. 2015; 314(21): 2263.
  7. Timor-Tritsch IE, Monteagudo A, Calì G, et al. Cesarean Scar Pregnancy: Diagnosis and Pathogenesis. Obstet Gynecol Clin North Am. 2019; 46(4): 797–811.
  8. Pomorski M, Fuchs T, Rosner-Tenerowicz A, et al. Sonographic evaluation of surgical repair of uterine cesarean scar defects. J Clin Ultrasound. 2017; 45(8): 455–460.
  9. Pomorski M, Zimmer M. Complete separation of the uterine cesarean section scar - a new cause of secondary infertility? Fertil.Steril. 2014; 102(3): 283.
  10. van der Voet LF, Vervoort AJ, Veersema S, et al. Minimally invasive therapy for gynaecological symptoms related to a niche in the caesarean scar: a systematic review. BJOG. 2014; 121(2): 145–156.
  11. Vervoort AJ, Uittenbogaard LB, Hehenkamp WJK, et al. Why do niches develop in Caesarean uterine scars? Hypotheses on the aetiology of niche development. Hum Reprod. 2015; 30(12): 2695–2702.
  12. Antoine C, Young BK. Cesarean section one hundred years 1920-2020: the Good, the Bad and the Ugly. J Perinat Med. 2020; 49(1): 5–16.
  13. Di Spiezio Sardo A, Saccone G, McCurdy R, et al. Risk of Cesarean scar defect following single- vs double-layer uterine closure: systematic review and meta-analysis of randomized controlled trials. Ultrasound Obstet Gynecol. 2017; 50(5): 578–583.
  14. Laganà AS, Cromi A, Tozzi R, et al. Uterine Scar Healing After Cesarean Section: Managing an Old Surgery in an Evidence-Based Environment. J Invest Surg. 2019; 32(8): 770–772.
  15. Dodd JM, Anderson ER, Gates S. Surgical techniques involving the uterus at the time of caesarean section. Cochrane Database of Systematic Reviews. 2004.
  16. Erkayiran U, Arslanca T. Comparative analysis of classical primary continuous and novel technique uterine suturing methods on uterine scar formation after caesarian section: a prospective clinical study. Ginekol Pol. 2022 [Epub ahead of print].
  17. Osser OV, Valentin L. Clinical Importance of Appearance of Cesarean Hysterotomy Scar at Transvaginal Ultrasonography in Nonpregnant Women. Obstetrics & Gynecology. 2011; 117(3): 525–532.
  18. Pomorski M, Fuchs T, Rosner-Tenerowicz A, et al. Standardized ultrasonographic approach for the assessment of risk factors of incomplete healing of the cesarean section scar in the uterus. Eur J Obstet Gynecol Reprod Biol. 2016; 205: 141–145.
  19. Agten AK, Cali G, Monteagudo A, et al. The clinical outcome of cesarean scar pregnancies implanted “on the scar” versus “in the niche”. American Journal of Obstetrics and Gynecology. 2017; 216(5): 510.e1–510.e6.
  20. Zimmer M, Pomorski M, Fuchs T, et al. Ultrasonographic analysis of cesarean scars features in nonpregnant uterus. Ginekol Pol. 2007; 78(11): 842–846.
  21. Budny-Winska J, Zimmer-Stelmach A, Pomorski M. Two- and three-dimensional transvaginal ultrasound in assessment of the impact of selected obstetric risk factors on cesarean scar niche formation: the case-controlled study. Ginekol Pol. 2021; 92(5): 378–382.
  22. Budny-Winska J, Pomorski M. Uterine niche after cesarean section: a review of diagnostic methods. Ginekol Pol. 2021; 92(10): 726–730.


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