2735 The Incidence of Abdominal Wall Adhesions at the Time of Laparoscopic Surgery in Women with or without Previous Surgery

Abstract

Study Objective To compare the incidence of abdominal wall adhesions at the time of laparoscopic surgery in women with various surgical histories. Design REB approved prospective cohort study. Setting Surgical suite in an academic affiliated teaching hospital. Patients or Participants 283 women undergoing laparoscopic surgery for gynecological indications between June 2013 to November 2014 Interventions After informed consent was obtained, laparoscopic surgery was performed by the senior author (GV), baseline patient characteristics were recorded, and the presence and description of abdominal wall adhesions was documented. Adhesions were characterized as containing bowel, mesentery, or omentum. Patients previous surgical history was documented. Measurements and Main Results The mean (SD) of age, parity and BMIof women were 36.8 (+/- 7.6) years, 0.96 (+/- 1.1), and 27.8 (+/- 6.5) kg/m2, respectively. The incidence of abdominal wall adhesions in women with history of: no previous abdominal surgery- 1.9% (2/104); at least one previous laparoscopy- 2.0% (2/101, p=1.00); at least one low transverse laparotomy- 20.7% (11/53, p Conclusion The incidence of abdominal wall adhesions in women undergoing laparoscopic surgery is the same in those with or without previous laparoscopic surgery of any kind. The incidence is increased in those with previous laparotomy, including low transverse incision.