Abstract
The current study was a prospective cohort study carried out in a tertiary Maternity hospital. Three hundred women with prior CD and scheduled for elective repeat CD were included. Preoperative evaluation of the cesarean skin scar characteristics was performed including scar appearance, pigmentation, length and width. During repeat CD, intra-abdominal adhesions were evaluated and classified according to the Nair’s scoring system.
Highlights
Cesarean delivery (CD) is one of the most commonly performed surgical operations worldwide
Correlation analysis shows that Nair's score had a significant positive moderate correlation with scar length (r = 0.575, p = 0.032), no correlation with scar width (r = 0.137, p = 0.082)
There is no reliable way to predict the presence of intra-abdominal adhesions before performing CD up till
Summary
Cesarean delivery (CD) is one of the most commonly performed surgical operations worldwide. The rate of CD is rising and increases the rate of intra-abdominal adhesions [1]. Intestinal injuries, bladder injuries, adhesive intestinal obstruction, chronic pelvic pain, and subsequent infertility could be serious complications of repeated abdominal surgery [2]. Even optimal surgical techniques cannot prevent adhesion formation completely. There is no reliable way to predict the presence of intra-abdominal adhesions before performing CD up till now. Several methods have been reported in the literature for prediction of the presence of adhesions after abdominal operations such as high-resolution ultrasonography [3], magnetic resonance imaging [4] and skin scar healing properties [5,6]. Anticipating adhesions is essential to prevent complications by ensuring that the required preoperative preparations are in place and/or that appropriate cases are referred to a tertiary center
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