Intraperitoneal Adhesions After Rectus Muscles Approximation
Conditions
Brief summary
approximation of both recti during lower segment cesarean section may be an important step to lower incidence of intraabdominal adhesions . peritoneal adhesions are of major medical importance and are associated with clinical problems such as chronic pain and infertility.
Detailed description
all patients included in the study should be had the operative history of the previous cesarean section and were done in the cairo university and divid them into 2 groups. 1st group were both recti approximated while the second group were closed without approximating both recti. all patients will be subjected to lower segment cesarean segment to assess the intraperitoneal adhesions, mean operative time, mean hospital stay, postoperative distension, bowel sounds, postoperative infections and morbidity
Interventions
PROCEDUREapproximation of both rectus muscles
closure of both rectus muscle before closure of rectus sheeth
Sponsors
Cairo University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* all patients of first lower segment cs at kasr al ainy with previous recorded data including operative data, postoperative data including complications. all patients included in the study are elective cesarean section at 38 weeks of gestation
Exclusion criteria
* no history of infection or medical disease * no history of previous laparotomies * no history of pregnancy complications * patients noted to have intraperitoneal adhesions in first cesarean section
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessment of the intraperitoneal adhesions post rectus muscle closure | intraoperative | assessment of adhesions bands between the pelvic organs and bowel |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| mean operative time | intraopertive time | calculate the mean time for closure of both recti |
| mean hospital stay | posoperative within first 48 hrs | assess the postoperative time of hospital stay |
| mean postoperative bowel sounds | posoperative within 24 hrs | interval between operation and listening the bowel sounds |
| postoperative distension | posoperative within 24 hrs | assessment of bowel distension postoperative |
| postoperative morbidity and infections | posoperative within 1 week | assess the tempreture, scars |
Countries
Egypt
Contacts
Primary Contacthany saad, assisstant prof
Backup Contacthadeer meshaal, assistant prof
Outcome results
None listed