Adhesions, Cesarean Section
Conditions
Keywords
Formation of adhesions assessed at subsequent cs
Brief summary
Objective: To determine the effect of non-closure of the visceral and parietal peritoneum during Cesarean section on the formation of adhesions. Study design: A prospective randomized trial of 533 women undergoing primary Cesarean section; 256 were randomized to non closure and 277 to closure of the peritoneum. At a subsequent cesarean,he presence of adhesions and their severity was evaluated at several sites: between the layers of the abdominal wall, between the bladder and the abdominal wall, between bladder and uterus, between the uterus and the abdominal wall, and between the bowels and the pelvic organs. A cumulative adhesion score was calculated.
Interventions
PROCEDUREClosure of the peritoneum at cs
Injection of 5 mg Marcaine (anesthetic solution) to the leg
Sponsors
Barzilai Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Women undergoing primary CS
Exclusion criteria
* Lack of consent by the patient or an urgent cesarean not allowing time to elicit an informed consent * Previous pelvic or abdominal surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adhesion score | 6 years |
Countries
Israel
Outcome results
None listed