Cesarean section uterine scar dehiscence - A review

Abstract

Cesarean section uterine scar dehiscence is a rare but important complication of LSCS; one of the commonest performed operations. The presentation of the patient can be subtle with abnormalities in menstruation or with features of dyspareunia and secondary infertility. Sometimes the dehiscence can present with features of peritonitis (generalised/localised) and even sepsis. In any circumstance a high index of suspicion should be present to identify this condition with modalities like the transvaginal ultrasonography or the MRI scan. Once confirmed treatment can be done conservatively by antibiotic cover and repair using open or laparoscopic techniques. If extensive infection, endomyometritis or intrabdominal abscess exist then hysterectomy is the best form of treatment especially in women who are not planning further pregnancies. This review article highlights all the aspects of uterine scar dehiscence based on evidences collected from studies and case reports.