Laparoscopic Management of Adhesions Developed after Peritoneal Nonclosure in Primary Cesarean Section Delivery

Obstetrics and Gynecology International
Emaduldin SeyamEnas Hefzy

Abstract

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. 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. 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. Nonclosure of the peritoneum in CS is associated with more adh...Continue Reading

References

May 5, 2000·The Cochrane Database of Systematic Reviews·C S Wilkinson, M W Enkin
Jan 23, 2002·European Journal of Obstetrics, Gynecology, and Reproductive Biology·B ChanrachakulY Herabutya
Jul 18, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Z RafiqueS W Lindow
Jul 26, 2002·Fertility and Sterility·Andreas NatherElmar A Joura
Apr 16, 2003·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Edith RosetOlivier Irion
Oct 2, 2003·American Journal of Obstetrics and Gynecology·Togas Tulandi, Dania Al-Jaroudi
Oct 30, 2003·The Cochrane Database of Systematic Reviews·A A Bamigboye, G J Hofmeyr
Jun 5, 2004·Human Reproduction·A M LowerUNKNOWN Surgical and Clinical Research (SCAR) Group
Aug 2, 2005·Obstetrics and Gynecology·Deirdre J LyellKay Daniels
Sep 13, 2005·Gynécologie, obstétrique & fertilité·C HuchonP Panel
Feb 21, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·S M CollinV Filippi
May 24, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Zahra Zareian, Parvin Zareian
Jun 21, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Zhu YiyangWu Weiling
Apr 25, 2007·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·N Kroon, P W Reginald
May 1, 2007·American Journal of Obstetrics and Gynecology·Kelly J Hamel
May 1, 2007·American Journal of Obstetrics and Gynecology·Kelly J MoralesG Wright Bates
Feb 7, 2008·The Cochrane Database of Systematic Reviews·G J HofmeyrN Novikova
Mar 14, 2008·BMC Pregnancy and Childbirth·UNKNOWN CORONIS Trial Collaborative Group
Nov 26, 2008·Fertility and Sterility·UNKNOWN Practice Committee of American Society for Reproductive Medicine in collaboration with Society of Reproductive Surgeons
Jul 7, 2009·American Journal of Obstetrics and Gynecology·Togas TulandiVanja Sikirica
Jul 15, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Y C CheongT C Li
Jun 24, 2010·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Deborah RobertsonUNKNOWN Society of Obstetricians and Gynaecologists of Canada
Sep 16, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·UNKNOWN CAESAR study collaborative group
Dec 14, 2011·American Journal of Obstetrics and Gynecology·Gordon Wright Bates, Stacy Shomento
Aug 12, 2014·The Cochrane Database of Systematic Reviews·Anthony A Bamigboye, G Justus Hofmeyr

❮ Previous
Next ❯

Methods Mentioned

BETA
cesarean section
dissection
cesarean sections

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Zhu YiyangWu Weiling
Acta Obstetricia Et Gynecologica Scandinavica
Elmar A JouraPeter Husslein
Journal of Minimally Invasive Gynecology
C A Hernandez Nieto, L C Paez Lobeira
© 2022 Meta ULC. All rights reserved