Clinical relevance of intra-abdominal adhesions in cesarean delivery
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Togas Tulandi & Baydaa Al-Sannan & Ghadeer Akbar & Louise Miner & Cleve Ziegler & Vanja Sikirica
- چاپ و سال / کشور: 2011
Description
The objective of this study was to evaluate the prevalence and extent of intra-abdominal adhesions at cesarean deliveries (CS) and their clinical relevance. We studied 490 cases of primary CS, 430 first repeat, and 106 cases of second or third repeat CS. Using a standard scoring system, the prevalence, extent, and consistency of adhesions were evaluated prospectively.We also examined the incision. delivery interval and the total operating time. At repeat CS, adhesions were found mainly between the uterus and the bladder or the abdominal wall. Dense adhesions to the bladder and to the abdominal wall were significantly more after .2 CSs (46.3% and 48.2%) than after one CS (29.8% and 25.6%). The adhesions on these areas were also more severe after .2 CSs than after one CS. There was a significant correlation between the adhesion score and the interval between the incision and delivery (r=0.23, P<0.0001) and the operating time (r=0.26, P<0.0001). CS leads to adhesion formation mainly between the uterus and the bladder and between the uterus and the anterior abdominal wall.
Gynecol Surg DOI 10.1007/s10397-011-0662-z Received: 16 January 2011 / Accepted: 20 January 2011
