The study aimed to detect isthmocele in women following lower segment cesarean section using Transvaginal Ultrasound (TVS) and Saline Infusion Sonography (SIS). It found a 30% incidence of isthmocele, with risk factors including multiple previous cesarean deliveries, higher maternal BMI, and longer surgery duration. TVS and SIS showed similar diagnostic accuracy, although they differed in specific measurements of isthmocele parameters. The study recommends promoting vaginal birth after cesarean, managing maternal obesity, and ensuring adequate surgical training to mitigate isthmocele development.
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