Are the skin scar characteristics and closure of the parietal peritoneum associated with pelvic adhesions?
| Autor: | Gülhan Elçi, Necat Almalı, Recep Yildizhan, Numan Çim, Erkan Elci |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
closure of parietal peritoneum genetic structures Uterus Scars Adhesion (medicine) lcsh:Medicine pelvic adhesion lcsh:Gynecology and obstetrics Abdominal wall 03 medical and health sciences 0302 clinical medicine Peritoneum medicine 030212 general & internal medicine Clinical Investigation lcsh:RG1-991 030219 obstetrics & reproductive medicine business.industry Skin scar lcsh:R Obstetrics and Gynecology Odds ratio medicine.disease digestive system diseases Surgery body regions medicine.anatomical_structure Abdomen medicine.symptom business Body mass index |
| Zdroj: | Turkish Journal of Obstetrics and Gynecology, Vol 15, Iss 1, Pp 28-32 (2018) Turkish Journal of Obstetrics and Gynecology |
| ISSN: | 2149-9330 2149-9322 |
| Popis: | Objective: To assess whether the abdominal scar characteristics and closure of the peritoneum were associated with pelvic adhesions. Materials and Methods: 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. Results: 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 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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