Association between characteristics of previous cesarean delivery and pelvic adhesions: a case-controlled study
To assess the correlation of previous cesarean delivery characteristics to pelvic adhesions in infertile patients. 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...
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| Veröffentlicht in: | Ginekologia polska 2023-01, Vol.94 (1), p.51-56 |
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| creator | Dawood, Ayman S Elgergawy, Adel E Dawood, Abdelghaffar S |
| description | To assess the correlation of previous cesarean delivery characteristics to pelvic adhesions in infertile patients.
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.
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].
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. |
| doi_str_mv | 10.5603/GP.a2022.0120 |
| format | Article |
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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.
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].
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.</description><identifier>ISSN: 0017-0011</identifier><identifier>EISSN: 2543-6767</identifier><identifier>DOI: 10.5603/GP.a2022.0120</identifier><identifier>PMID: 36378128</identifier><language>eng</language><publisher>Poland: Wydawnictwo Via Medica</publisher><subject>Abdomen ; Abdominal surgery ; Adhesion ; Age ; Body mass index ; Cesarean section ; Cesarean Section - adverse effects ; Female ; Gynecology ; Hospitals ; Humans ; Infertility ; Laparoscopy ; Obstetrics ; Ovaries ; Peritoneum ; Postoperative Complications - etiology ; Pregnancy ; Skin ; Tissue Adhesions - etiology ; Variables</subject><ispartof>Ginekologia polska, 2023-01, Vol.94 (1), p.51-56</ispartof><rights>2023. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-9481-4341 ; 0000-0002-6607-5828</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,865,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36378128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dawood, Ayman S</creatorcontrib><creatorcontrib>Elgergawy, Adel E</creatorcontrib><creatorcontrib>Dawood, Abdelghaffar S</creatorcontrib><title>Association between characteristics of previous cesarean delivery and pelvic adhesions: a case-controlled study</title><title>Ginekologia polska</title><addtitle>Ginekol Pol</addtitle><description>To assess the correlation of previous cesarean delivery characteristics to pelvic adhesions in infertile patients.
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.
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].
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.</description><subject>Abdomen</subject><subject>Abdominal surgery</subject><subject>Adhesion</subject><subject>Age</subject><subject>Body mass index</subject><subject>Cesarean section</subject><subject>Cesarean Section - adverse effects</subject><subject>Female</subject><subject>Gynecology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infertility</subject><subject>Laparoscopy</subject><subject>Obstetrics</subject><subject>Ovaries</subject><subject>Peritoneum</subject><subject>Postoperative Complications - etiology</subject><subject>Pregnancy</subject><subject>Skin</subject><subject>Tissue Adhesions - etiology</subject><subject>Variables</subject><issn>0017-0011</issn><issn>2543-6767</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNo9kM1LwzAYh4MobswdvUrAc2c-mqT1NoZOYeAOu4c0ecsiXTOTdrL_3s5NL-97eXh-8CB0T8lMSMKfluuZYYSxGaGMXKExEznPpJLqGo0JoSobDh2haUq-IjljJaWivEUjLrkqKCvGKMxTCtabzocWV9B9A7TYbk00toPoU-dtwqHG-wgHH_qELSQTwbTYQeMPEI_YtA7voTl4i43bQhpM6RkbbE2CzIa2i6FpwOHU9e54h25q0ySYXv4EbV5fNou3bPWxfF_MV5nlVHaZFBUnVckUMEaJVUIaBrRylStVXRekkJww60iZU2ogt07AQEhFpShUVfIJejxr9zF89ZA6_Rn62A6LminFBVGC04HKzpSNIaUItd5HvzPxqCnRp8B6uda_gfUp8MA_XKx9tQP3T__l5D-xBncL</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Dawood, Ayman S</creator><creator>Elgergawy, Adel E</creator><creator>Dawood, Abdelghaffar S</creator><general>Wydawnictwo Via Medica</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0002-9481-4341</orcidid><orcidid>https://orcid.org/0000-0002-6607-5828</orcidid></search><sort><creationdate>20230101</creationdate><title>Association between characteristics of previous cesarean delivery and pelvic adhesions: a case-controlled study</title><author>Dawood, Ayman S ; Elgergawy, Adel E ; Dawood, Abdelghaffar S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c316t-65b30b927e2210c756a2e1bdbd97ff8086302cd09411ae4cd5e6a26716587b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdomen</topic><topic>Abdominal surgery</topic><topic>Adhesion</topic><topic>Age</topic><topic>Body mass index</topic><topic>Cesarean section</topic><topic>Cesarean Section - adverse effects</topic><topic>Female</topic><topic>Gynecology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infertility</topic><topic>Laparoscopy</topic><topic>Obstetrics</topic><topic>Ovaries</topic><topic>Peritoneum</topic><topic>Postoperative Complications - etiology</topic><topic>Pregnancy</topic><topic>Skin</topic><topic>Tissue Adhesions - etiology</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dawood, Ayman S</creatorcontrib><creatorcontrib>Elgergawy, Adel E</creatorcontrib><creatorcontrib>Dawood, Abdelghaffar S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Ginekologia polska</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dawood, Ayman S</au><au>Elgergawy, Adel E</au><au>Dawood, Abdelghaffar S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between characteristics of previous cesarean delivery and pelvic adhesions: a case-controlled study</atitle><jtitle>Ginekologia polska</jtitle><addtitle>Ginekol Pol</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>94</volume><issue>1</issue><spage>51</spage><epage>56</epage><pages>51-56</pages><issn>0017-0011</issn><eissn>2543-6767</eissn><abstract>To assess the correlation of previous cesarean delivery characteristics to pelvic adhesions in infertile patients.
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.
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].
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><cop>Poland</cop><pub>Wydawnictwo Via Medica</pub><pmid>36378128</pmid><doi>10.5603/GP.a2022.0120</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9481-4341</orcidid><orcidid>https://orcid.org/0000-0002-6607-5828</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Abdomen Abdominal surgery Adhesion Age Body mass index Cesarean section Cesarean Section - adverse effects Female Gynecology Hospitals Humans Infertility Laparoscopy Obstetrics Ovaries Peritoneum Postoperative Complications - etiology Pregnancy Skin Tissue Adhesions - etiology Variables |
| title | Association between characteristics of previous cesarean delivery and pelvic adhesions: a case-controlled study |
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