Tracking Cesarean Scar Morphology by Sonohysterography After Consecutive Cesarean Deliveries with Endometrium-Free Closure

The authors aimed to evaluate how endometrium-free closure affects uterine scar morphology by comparing sonohysterograms in women undergoing consecutive cesarean deliveries. Their findings suggest that while endometrium-free closure generally maintains favorable scar morphology, the transition from standard to endometrium-free closure may be associated with increased niche development, although this difference did not reach statistical significance. The study highlights the need for further research to validate these observations in larger cohorts.