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Association between characteristics of previous cesarean delivery and pelvic adhesions: a case-controlled study
, 1, 1
Affiliations- Department of Obstetrics and Gynecology, Tanta University, Tanta, Egypt
open access
Abstract
Objectives: To assess the correlation of previous cesarean delivery characteristics to pelvic adhesions in infertile patients. Material and methods: This Case-controlled study was conducted in the period from January 2018 to December 2020 at Tanta University. All patients (222) presenting with post-cesarean infertility who underwent diagnostic laparoscopy were included in the study. According to presence of adhesions during laparoscopy, two groups were allocated. Characteristics of previous cesarean delivery were assessed in patients with or without adhesions. Results: There were significant differences between both groups regarding type of CS, shape of skin scar, parietal peritoneal closure, and postoperative complications of the prior CS between both groups. Independent predictors of adhesions were age [OR: 1.43 (1.15–1.77); p = 0.001], BMI [OR: 0.76 (0.61–0.95); p = 0.02], emergency CS [OR: 7.74 (1.61–37.19); p = 0.01], parietal peritoneal closure [OR: 0.06 (0.01–0.24); p = 0.001]. Conclusions: Post-cesarean adhesions were correlated to age, BMI, emergency CD, double layer closure, and closure of peritoneum and to postoperative complications. No correlation to duration of infertility or number of cesarean sections.
Abstract
Objectives: To assess the correlation of previous cesarean delivery characteristics to pelvic adhesions in infertile patients. Material and methods: This Case-controlled study was conducted in the period from January 2018 to December 2020 at Tanta University. All patients (222) presenting with post-cesarean infertility who underwent diagnostic laparoscopy were included in the study. According to presence of adhesions during laparoscopy, two groups were allocated. Characteristics of previous cesarean delivery were assessed in patients with or without adhesions. Results: There were significant differences between both groups regarding type of CS, shape of skin scar, parietal peritoneal closure, and postoperative complications of the prior CS between both groups. Independent predictors of adhesions were age [OR: 1.43 (1.15–1.77); p = 0.001], BMI [OR: 0.76 (0.61–0.95); p = 0.02], emergency CS [OR: 7.74 (1.61–37.19); p = 0.01], parietal peritoneal closure [OR: 0.06 (0.01–0.24); p = 0.001]. Conclusions: Post-cesarean adhesions were correlated to age, BMI, emergency CD, double layer closure, and closure of peritoneum and to postoperative complications. No correlation to duration of infertility or number of cesarean sections.
Keywords
pelvic adhesions; post-cesarean infertility; peritoneal closure; characteristics; postoperative complications
About this articleTitle
Association between characteristics of previous cesarean delivery and pelvic adhesions: a case-controlled study
Journal
Issue
Article type
Research paper
Pages
51-56
Published online
2022-10-26
Page views
3073
Article views/downloads
623
DOI
Pubmed
Bibliographic record
Ginekol Pol 2023;94(1):51-56.
Keywords
pelvic adhesions
post-cesarean infertility
peritoneal closure
characteristics
postoperative complications
Authors
Ayman S. Dawood
Adel E. Elgergawy
Abdelghaffar S. Dawood
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