Maternal obesity and intra-abdominal adhesion formation at cesarean delivery

Kinay, Tugba; Ucok, Belgin Savran; Ramoglu, Sedef; Tapisiz, Omer Lutfi; Erkaya, Salım; Koç, Sevgi

doi:10.1080/14767058.2020.1783231

Cited by 5 publications

(5 citation statements)

References 24 publications

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“…Current study agreed with Kinay and his colleagues who showed that 40% of women with BMI > 30kg/m2 had omental adhesions but only 24% of women with BMI < 30kg/m2 had omental adhesions with p value= 0.016), however, adhesions with uterus & bowel represented only 3% & 1% of women with BMI > 30kg/m2 and 2% & 2% respectively of women with BMI < 30kg/m2 which was statistically insignificant (P value= 0.6) (4) .…”

Section: Discussionsupporting

confidence: 90%

“…Current results were in the same line with Kinay and his colleagues who stated that a flat scar was present in 68% of women with BMI < 30 kg/m2 and 82% of women with BMI ≥ 30 kg/m2. This difference was statistically significant (P value=0.024) (4) .…”

Section: Discussionmentioning

confidence: 82%

“…The study population was divided into two groups according to body mass index (BMI) upon cesarean section (<30 kg/m2 and >30 kg/m2). The disagreement might be attributed to racial factors, techniques of skin closure or suture materials (4) . Current results were in the same line with Kinay and his colleagues who stated that a flat scar was present in 68% of women with BMI < 30 kg/m2 and 82% of women with BMI ≥ 30 kg/m2.…”

Section: Discussionmentioning

confidence: 99%

“…Adhesions are fibrous bands of scar tissue formed between the abdominal organs and tissues and may lead to many postoperative complications, such as intestinal obstruction, chronic pelvic pain, dyspareunia, infertility and visceral injury upon subsequent cesarean sections (4) .…”

Section: Introductionmentioning

confidence: 99%

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The Association Between Body Mass Index and Intra-Abdominal Adhesions in Women Undergoing Previous Cesarean Sections

Fouad

El-Beshry

Elkholy

et al. 2022

Ain Shams Medical Journal

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Background: Intra-abdominal adhesion formation is an important post-surgery complication and develops at an incidence of 24-83% following cesarean section. Obesity is associated with several disturbances in hemostasis, especially impaired fibrinolysis that may increase incidence of intra-abdominal adhesions. Aim of the Work: Evaluation of the association between body mass index and formation of intra-abdominal adhesion in women undergoing cesarean section.Patients and Methods: Two hundred and ten pregnant women of at least 37 weeks' gestation with history of prior cesarean section were included and divided into two groups according to body mass index (BMI) upon cesarean section (<30 kg/m 2 and ≥30 kg/m 2 ). The intra-abdominal adhesion incidence and the scar characteristics of the groups were compared. Results:In obese cases, scar thickness was significantly higher 8. 7 ± 1.2 vs. 7.3±1.1 mm, different adhesion sites (uterus-bladder, omentum-fascia, uterus-omentum and uterus-fascia) were significantly more frequent, dense adhesion consistencies were more frequent and adhesion size was higher in obese cases. Operative duration was significantly longer in obese cases 40.0 ± 3.0 vs. 36.9 ± 4.0 minutes. Operative complications were non-significantly more frequent in obese cases. Conclusion:In women undergoing cesarean section, there was a significant association between body mass index and formation of intra-abdominal adhesion.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Association Between Body Mass Index and Intra-Abdominal Adhesions in Women Undergoing Previous Cesarean Sections

Fouad

El-Beshry

Elkholy

et al. 2022

Ain Shams Medical Journal

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show abstract

“…Scar shape of previous surgery and keloid formation were also studied to predict presence of abdominal adhesions. Surgeon skills and individual variations were also addressed [11][12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%