Are the skin scar characteristics and closure of the parietal peritoneum associated with pelvic adhesions?

To assess whether the abdominal scar characteristics and closure of the peritoneum were associated with pelvic adhesions. Patients who had undergone cesarean section between December 2015 and February 2016 were assessed prospectively in terms of age, gravida, body mass index, number of living childr...

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Bibliographic Details
Published in:Turkish journal of obstetrics and gynecology 2018-03, Vol.15 (1), p.28-32
Main Authors: Çim, Numan, Elçi, Erkan, Güneş Elçi, Gülhan, Almalı, Necat, Yıldızhan, Recep
Format: Article
Language:English
Subjects:
Abdomen
Adhesion
Body mass index
Cesarean section
Chronic illnesses
Clinical Investigation
Dissection
Growth factors
Kadın Hastalıkları
Patients
Scars
Skin
Standard deviation
Tıp
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Summary:To assess whether the abdominal scar characteristics and closure of the peritoneum were associated with pelvic adhesions. Patients who had undergone cesarean section between December 2015 and February 2016 were assessed prospectively in terms of age, gravida, body mass index, number of living children, number of cesarean sections, time passed since the last cesarean section, closure status of the peritoneum in the last cesarean section, presence of other diseases, smoking status, location of incision in the abdomen (medial, pfannenstiel) scar dimensions (length, width), scar status with respect to skin (hypertrophic, flat, depressive), scar color [color change/no color change (hyperpigmented/hypopigmented)], adhesion of bowel-omentum-uterus, omentum-anterior abdominal wall, uterus-anterior abdominal wall, uterus-bladder, bladder-anterior abdominal wall, fixed uterus, and uterus-omentum-anterior abdominal wall in abdominal exploration. One hundred five pregnant women who had undergone previous ceserean section surgery by the same physician, were at least in their 30th gestational week, had surgery notes about their previous operation, and had no chronic diseases were included in the study. Age, gravida, body mass index, number of children, number of cesarean sections, time passed since the previous cesarean section, closure/non-closure of peritoneum in the previous cesarean section, and smoking status had no effect on pelvic adhesions. Intraabdominal adhesion was not found to be associated with scar length [odds ratio (OR): 1.54, 95% confidence interval (CI): 1.1-2.2; p=0.02], depressive scar (OR: 9.3, 95% CI: 3.2-27.2; p
ISSN:2149-9322
2149-9330
DOI:10.4274/tjod.55491