Can We Predict the Presence and Severity of Intra-Abdominal Adhesions before Cesarean Delivery

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dc.contributor.authorTaylan E.
dc.contributor.authorAkdemir A.
dc.contributor.authorErgenoglu A.M.
dc.contributor.authorYeniel A.O.
dc.contributor.authorTekindal M.A.
dc.date.accessioned2019-10-27T08:03:27Z
dc.date.available2019-10-27T08:03:27Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractAims: The study aimed to investigate whether we can predict the presence and severity of intra-abdominal adhesions before cesarean delivery using patient history, symptoms, and abdominal skin scar characteristics. Methods: In this prospective study, 143 pregnant women with history of previous abdominal surgery were included and they delivered by cesarean. Preoperative abdominal scar characteristics and symptoms as well as intraoperative abdominal adhesions were evaluated using the Manchester Scar Scale, a symptomatology questionnaire and the More Comprehensive Adhesion Scoring Method, respectively. Results: Patients with adhesions (n = 98) and without adhesions (n = 45) had similar baseline characteristics. In the adhesion group, abdominal scar scoring parameters were significantly increased. However, there was no significant correlation among total scar score, adhesion score, and symptom score. Conclusion: Despite the availability of many proposed methods, accurate prediction of the severity of surgery-related adhesions is beyond our current abilities. Therefore, as healthcare providers, obstetricians should avoid unnecessary use of the cesarean approach. This approach is more effective, beneficial, realizable, and reasonable than the prediction of surgery-related adhesions. © 2016 S. Karger AG, Basel.en_US
dc.identifier.doi10.1159/000454767en_US
dc.identifier.endpage526en_US
dc.identifier.issn0378-7346
dc.identifier.issue6en_US
dc.identifier.pmid27997914en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage521en_US
dc.identifier.urihttps://doi.org/10.1159/000454767
dc.identifier.urihttps://hdl.handle.net/11454/25359
dc.identifier.volume82en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherS. Karger AGen_US
dc.relation.ispartofGynecologic and Obstetric Investigationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdhesionen_US
dc.subjectCesarean deliveryen_US
dc.subjectSkin scaren_US
dc.subjectSymptomsen_US
dc.titleCan We Predict the Presence and Severity of Intra-Abdominal Adhesions before Cesarean Deliveryen_US
dc.typeArticleen_US

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