Cesarean Section Scar Characteristics in Subjects with and without Intra-abdominal Adhesions at Taleghani Hospital in Tehran, Iran in 2016
Introduction: Candidates of cesarean section with a previous history of such surgery are at a higher risk of intra-abdominal adhesions in comparison to those having undergone vaginal delivery. Intra-abdominal adhesions lead to prolonged operative time, intraoperative hemorrhage, fetomaternal morbidi...
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| Format: | Article |
| Language: | fas |
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Mashhad University of Medical Sciences
2018-12-01
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| Series: | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
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| Online Access: | https://ijogi.mums.ac.ir/article_12238_6c563d71f048b1a2b14650e408bfcee4.pdf |
| _version_ | 1811223829364604928 |
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| author | Minoo Yaghmaei Soodabeh Darvish Seyede Mahbanoo Farmanbar |
| author_facet | Minoo Yaghmaei Soodabeh Darvish Seyede Mahbanoo Farmanbar |
| author_sort | Minoo Yaghmaei |
| collection | DOAJ |
| description | Introduction: Candidates of cesarean section with a previous history of such surgery are at a higher risk of intra-abdominal adhesions in comparison to those having undergone vaginal delivery. Intra-abdominal adhesions lead to prolonged operative time, intraoperative hemorrhage, fetomaternal morbidity, and requirement of the help of other surgeons. Therefore, this study was conducted to study the characteristics of abdominal scars in order to predict and manage intra-abdominal adhesions before operation. Methods: This descriptive prospective study was conducted on 109 candidates of cesarean section with a previous history of such surgery in Taleghani Hospital, Tehran, Iran, in 2017. The data recorded for each patient included demographic characteristics, body mass index, abdominal scar characteristics, and severity of abdominal adhesion. The collected data were analyzed in SPSS software (version 22) using the Chi-square test and Mann-Whitney U test. P-value less than 0.05 was considered statistically significant. Results: Out of 109 participants, 36 (32.02%) women had adhesion, 17 (15.6 %) cases of whom had dense vascular adhesions or frozen pelvis. The analysis showed a significant difference between the filmy adhesion or non-adhesion group and adhesive adhesion or frozen pelvis group in terms of flat and non-flat scars (P=0.042), scar height (P=0.005), and depressed and non-depressed scars (P=0.004). Conclusion: As the findings indicated, a depressed abdominal scar resulting from a previous cesarean delivery was correlated with the incidence and severity of intra-abdominal adhesions (P<0.05). |
| first_indexed | 2024-04-12T08:40:16Z |
| format | Article |
| id | doaj.art-09d0f32738834ad69e067b885b7d6609 |
| institution | Directory Open Access Journal |
| issn | 1680-2993 2008-2363 |
| language | fas |
| last_indexed | 2024-04-12T08:40:16Z |
| publishDate | 2018-12-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
| spelling | doaj.art-09d0f32738834ad69e067b885b7d66092022-12-22T03:39:55ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632018-12-0121101610.22038/ijogi.2018.1223812238Cesarean Section Scar Characteristics in Subjects with and without Intra-abdominal Adhesions at Taleghani Hospital in Tehran, Iran in 2016Minoo Yaghmaei0Soodabeh Darvish1Seyede Mahbanoo Farmanbar2Professor, Department of Obstetrics and Gynecology, Preventive Gynecology Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Assistant Professor, Department of Obstetrics and Gynecology, Preventive Gynecology Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Resident of Obstetrics and Gynecology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Introduction: Candidates of cesarean section with a previous history of such surgery are at a higher risk of intra-abdominal adhesions in comparison to those having undergone vaginal delivery. Intra-abdominal adhesions lead to prolonged operative time, intraoperative hemorrhage, fetomaternal morbidity, and requirement of the help of other surgeons. Therefore, this study was conducted to study the characteristics of abdominal scars in order to predict and manage intra-abdominal adhesions before operation. Methods: This descriptive prospective study was conducted on 109 candidates of cesarean section with a previous history of such surgery in Taleghani Hospital, Tehran, Iran, in 2017. The data recorded for each patient included demographic characteristics, body mass index, abdominal scar characteristics, and severity of abdominal adhesion. The collected data were analyzed in SPSS software (version 22) using the Chi-square test and Mann-Whitney U test. P-value less than 0.05 was considered statistically significant. Results: Out of 109 participants, 36 (32.02%) women had adhesion, 17 (15.6 %) cases of whom had dense vascular adhesions or frozen pelvis. The analysis showed a significant difference between the filmy adhesion or non-adhesion group and adhesive adhesion or frozen pelvis group in terms of flat and non-flat scars (P=0.042), scar height (P=0.005), and depressed and non-depressed scars (P=0.004). Conclusion: As the findings indicated, a depressed abdominal scar resulting from a previous cesarean delivery was correlated with the incidence and severity of intra-abdominal adhesions (P<0.05).https://ijogi.mums.ac.ir/article_12238_6c563d71f048b1a2b14650e408bfcee4.pdfadhesionabdominal scarrepeat cesarean section |
| spellingShingle | Minoo Yaghmaei Soodabeh Darvish Seyede Mahbanoo Farmanbar Cesarean Section Scar Characteristics in Subjects with and without Intra-abdominal Adhesions at Taleghani Hospital in Tehran, Iran in 2016 Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān adhesion abdominal scar repeat cesarean section |
| title | Cesarean Section Scar Characteristics in Subjects with and without Intra-abdominal Adhesions at Taleghani Hospital in Tehran, Iran in 2016 |
| title_full | Cesarean Section Scar Characteristics in Subjects with and without Intra-abdominal Adhesions at Taleghani Hospital in Tehran, Iran in 2016 |
| title_fullStr | Cesarean Section Scar Characteristics in Subjects with and without Intra-abdominal Adhesions at Taleghani Hospital in Tehran, Iran in 2016 |
| title_full_unstemmed | Cesarean Section Scar Characteristics in Subjects with and without Intra-abdominal Adhesions at Taleghani Hospital in Tehran, Iran in 2016 |
| title_short | Cesarean Section Scar Characteristics in Subjects with and without Intra-abdominal Adhesions at Taleghani Hospital in Tehran, Iran in 2016 |
| title_sort | cesarean section scar characteristics in subjects with and without intra abdominal adhesions at taleghani hospital in tehran iran in 2016 |
| topic | adhesion abdominal scar repeat cesarean section |
| url | https://ijogi.mums.ac.ir/article_12238_6c563d71f048b1a2b14650e408bfcee4.pdf |
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