Intra-Abdominal; Adhesion
Conditions
Keywords
sliding test , ceaserean section
Brief summary
Recognition of intraabdominal adhesion before doing repeated cesarean section is helpful for the surgeon and patients.
Detailed description
the repeated cesarean section is associated with recorded maternal morbidity including placenta preavia and accreta , liability to injuries to the bladder, intestine or vascular injuries. The anticipation of the problem is important for decreasing its adverse effect . preoperative diagnosis of pelvic adhesion between the uterus and anterior abdominal wall, bladder, intestine or omentum could b of help to give time for a surgeon to prepare senior staff obstetrician or others and theatre requirements to overcome any problem happened.
Interventions
DIAGNOSTIC_TESTsliding test
ultrasound detected sliding test before doing repeated caesarean section
Sponsors
Nahed allam
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 39 Years
Healthy volunteers
No
Inclusion criteria
* pregnant in their 9th-month singleton, planned for elective CS and had a history of previous CS
Exclusion criteria
* included multiple pregnancies, preterm labour, emergency CS, skin burn at the site of CS
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intra-abdominal adhesion | intra-operative period | presence of adhesion between uterus and abdominal wall or intestine on bladder |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| skin to uterine incision time | intra-operative period | time consumed by surgeon from skin incision to uterine incision in minutes |
| need to insert intra-peritoneal drain | intraoperative period | if there in marked adhesion and vascular injury a drain could be inserted |
Contacts
Primary Contactnahed allam, MD
Outcome results
None listed