Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Feb 1:2018:6901764.
doi: 10.1155/2018/6901764. eCollection 2018.

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

Emaduldin Seyam  1 , Emad Moussa Ibrahim  1 , Ayman Moheb Youseff  1 , Eissa M Khalifa  1 , Enas Hefzy  2
Affiliations

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

Emaduldin Seyam et al. Obstet Gynecol Int. .

Abstract

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.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. Menacker F., Hamilton B. E. Recent trends in cesarean delivery in the United States. NCHS Data Brief. 2010;35:1–8. - PubMed
    1. Morales K. J., Gordon M. C., Bates G. W., Jr. Post-cesarean delivery adhesions associated with delayed delivery of infant. American Journal of Obstetrics and Gynecology. 2007;196(5):461.e1–461.e6. doi: 10.1016/j.ajog.2006.12.017. - DOI - PubMed
    1. Tulandi T., Agdi M., Zarei A., Miner L., Sikirica V. Adhesion development and morbidity after repeat cesarean delivery. American Journal of Obstetrics and Gynecology. 2009;201:56.e1–56.e6. doi: 10.1016/j.ajog.2009.04.039. - DOI - PubMed
    1. Robertson D., Lefebvre G., Leyland N., et al. Adhesion prevention in gynaecological surgery. Journal of Obstetrics and Gynaecology Canada. 2010;32(6):598–602. doi: 10.1016/s1701-2163(16)34530-3. - DOI - PubMed
    1. Bates G. W., Shomento S. Adhesion prevention in patients with multiple cesarean deliveries. American Journal of Obstetrics and Gynecology. 2011;205(6):S19–S24. doi: 10.1016/j.ajog.2011.09.030. - DOI - PubMed

LinkOut - more resources