Prediction of Intra-abdominal Adhesion Before CS

• Conditions: Intra-Abdominal; Adhesion

• Registration Number: NCT03800511
• Lead Sponsor: Nahed allam

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.

Study Timeline

• Status Verified: 2019-01
• Study First Submitted: 2019-01-09
• Study First Submitted QC: 2019-01-09
• Last Update Submitted: 2019-01-10
• Study First Posted: 2019-01-11
• Last Update Posted: 2019-01-14
• Study Start: 2019-03
• Primary Completion: 2019-08
• Study Completion: 2019-08

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 27

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
intra-abdominal adhesion	intra-operative period	presence of adhesion between uterus and abdominal wall or intestine on bladder

Secondary Outcome Measures

Name	Time	Method
need to insert intra-peritoneal drain	intraoperative period	if there in marked adhesion and vascular injury a drain could be inserted
skin to uterine incision time	intra-operative period	time consumed by surgeon from skin incision to uterine incision in minutes