Prediction of Intra-abdominal Adhesion Before CS: A Diagnostic Test Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Intra-Abdominal; Adhesion
- Sponsor
- Nahed allam
- Enrollment
- 27
- Primary Endpoint
- intra-abdominal adhesion
- Last Updated
- 7 years ago
Overview
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.
Investigators
Nahed allam
Proffesor Nahed Ezzat Allam (Nallam
Al-Azhar University
Eligibility Criteria
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
Outcomes
Primary Outcomes
intra-abdominal adhesion
Time Frame: intra-operative period
presence of adhesion between uterus and abdominal wall or intestine on bladder
Secondary Outcomes
- need to insert intra-peritoneal drain(intraoperative period)
- skin to uterine incision time(intra-operative period)