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Laparoscopic Management of Adhesions Developed after Peritoneal Nonclosure in Primary Cesarean Section Delivery
Joint Authors
Yousef, Ayman M.
Seyam, Emaduldin
Ibrahim, Emad Moussa
Khalifa, Eissa M.
Hefzy, Enas
Source
Obstetrics and Gynecology International
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-02-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
The aim of the current study was to laparoscopically investigate the effects of peritoneal nonclosure on the sites, types, and degrees of adhesions developed after primary caesarean section (CS) in women complaining of secondary infertility after first CS delivery.
Study Design.
This was a cross-sectional study, where 250 women suffering from secondary infertility after their first CS had been recruited.
They had been classified into group I (n = 89), where both the visceral and parietal peritoneum had been left opened; group II (n = 75), where only the parietal peritoneum had been closed; and group III (n = 86), where both peritoneal layers had been closed.
Laparoscopy had been used to classify those adhesions according to the location, severity, and their adverse impact on the reproductive capacity.
Results.
Both adnexal and nonadnexal adhesions had been found significantly higher in group I, while adnexal types of adhesions were significantly higher after nonclosure of the visceral peritoneum in group II.
Laparoscopic tubal surgery performed included tubo-ovariolysis, fimbrioplasty, and neosalpingostomy.
Pregnancy rate was found correlating with the adnexal adhesion location and score.
Conclusion.
Nonclosure of the peritoneum in CS is associated with more adhesion formation, which might adversely affect the future women reproduction.
American Psychological Association (APA)
Seyam, Emaduldin& Ibrahim, Emad Moussa& Yousef, Ayman M.& Khalifa, Eissa M.& Hefzy, Enas. 2018. Laparoscopic Management of Adhesions Developed after Peritoneal Nonclosure in Primary Cesarean Section Delivery. Obstetrics and Gynecology International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1210701
Modern Language Association (MLA)
Seyam, Emaduldin…[et al.]. Laparoscopic Management of Adhesions Developed after Peritoneal Nonclosure in Primary Cesarean Section Delivery. Obstetrics and Gynecology International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1210701
American Medical Association (AMA)
Seyam, Emaduldin& Ibrahim, Emad Moussa& Yousef, Ayman M.& Khalifa, Eissa M.& Hefzy, Enas. Laparoscopic Management of Adhesions Developed after Peritoneal Nonclosure in Primary Cesarean Section Delivery. Obstetrics and Gynecology International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1210701
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1210701