caa a22 4500 445364076 CHVBK 20180317142924.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s10397-011-0662-z doi (NATIONALLICENCE)springer-10.1007/s10397-011-0662-z Clinical relevance of intra-abdominal adhesions in cesarean delivery [Elektronische Daten] [Togas Tulandi, Baydaa Al-Sannan, Ghadeer Akbar, Louise Miner, Cleve Ziegler, Vanja Sikirica] The objective of this study was to evaluate the prevalence and extent of intra-abdominal adhesions at cesarean deliveries (CS) and their clinical relevance. We studied 490 cases of primary CS, 430 first repeat, and 106 cases of second or third repeat CS. Using a standard scoring system, the prevalence, extent, and consistency of adhesions were evaluated prospectively. We also examined the incision-delivery interval and the total operating time. At repeat CS, adhesions were found mainly between the uterus and the bladder or the abdominal wall. Dense adhesions to the bladder and to the abdominal wall were significantly more after ≥2 CSs (46.3% and 48.2%) than after one CS (29.8% and 25.6%). The adhesions on these areas were also more severe after ≥2 CSs than after one CS. There was a significant correlation between the adhesion score and the interval between the incision and delivery (r = 0.23, P < 0.0001) and the operating time (r = 0.26, P < 0.0001). CS leads to adhesion formation mainly between the uterus and the bladder and between the uterus and the anterior abdominal wall. Springer-Verlag, 2011 Cesarean nationallicence Repeat cesarean nationallicence Adhesion nationallicence Delivery time nationallicence Operating time nationallicence Tulandi Togas From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut Al-Sannan Baydaa From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut Akbar Ghadeer From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut Miner Louise From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut Ziegler Cleve From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut Sikirica Vanja Ethicon, Inc, Somerville, NJ, USA aut Gynecological Surgery Springer-Verlag 8/4(2011-11-01), 399-403 1613-2076 8:4<399 2011 8 10397 https://doi.org/10.1007/s10397-011-0662-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-011-0662-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tulandi Togas From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Al-Sannan Baydaa From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Akbar Ghadeer From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Miner Louise From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Ziegler Cleve From the Department of Obstetrics and Gynecology, McGill University, 687 Pine Ave. West, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Sikirica Vanja Ethicon, Inc, Somerville, NJ, USA aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/4(2011-11-01), 399-403 1613-2076 8:4<399 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer