{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T13:09:01Z","timestamp":1701781741546},"reference-count":13,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>Cesarean scar defects (CSDs) that can be visualized using transvaginal ultrasonography (TVUS) may cause prolonged menstruation, irregular genital bleeding, and secondary infertility; surgical repair is sometimes necessary. We present a case of CSD, with dehiscence of the uterine incision, which was managed using wound lavage. A 38-year-old woman (gravida 4, para 4) had delivered her third and fourth children by cesarean section. Upon the resumption of menstruation, 9 months after her second cesarean section, she demonstrated prolonged menstruation and the presence of a menstrual fistula due to dehiscence of the cesarean section incision from the myometrium to the serosa. We treated the defect by lavaging with a physiological saline solution. After lavaging the wound 3 times, spontaneous healing of the dehiscent muscle layer was successfully achieved. The treatment was complication-free and the healing of the muscle layer has been maintained for more than 8 months.<\/jats:p>","DOI":"10.1155\/2014\/421014","type":"journal-article","created":{"date-parts":[[2014,11,6]],"date-time":"2014-11-06T21:02:30Z","timestamp":1415307750000},"page":"1-4","source":"Crossref","is-referenced-by-count":4,"title":["Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage"],"prefix":"10.1155","volume":"2014","author":[{"given":"Akinori","family":"Ida","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoko","family":"Kubota","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maiko","family":"Nosaka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiyuki","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/00004347-199501000-00004"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6405"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.2916"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6395"},{"key":"5","first-page":"S13","volume":"3","year":"1996","journal-title":"Journal of the American Association of Gynecologic Laparoscopists"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.10.004"},{"issue":"7","key":"7","doi-asserted-by":"crossref","first-page":"695","DOI":"10.7863\/jum.2003.22.7.695","volume":"22","year":"2003","journal-title":"Journal of Ultrasound in Medicine"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7496"},{"issue":"10","key":"9","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.7863\/jum.2001.20.10.1105","volume":"20","year":"2001","journal-title":"Journal of Ultrasound in Medicine"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1002\/uog.999"},{"issue":"5-6","key":"11","first-page":"265","volume":"56","year":"2011","journal-title":"The Journal of Reproductive Medicine"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2004.12.023"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.11.031"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2014\/421014.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2014\/421014.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2014\/421014.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,22]],"date-time":"2017-06-22T23:44:36Z","timestamp":1498175076000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criog\/2014\/421014\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":13,"alternative-id":["421014","421014"],"URL":"https:\/\/doi.org\/10.1155\/2014\/421014","relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"value":"2090-6684","type":"print"},{"value":"2090-6692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}