TY  - JOUR
TI  - Are the skin scar characteristics and closure of the parietal peritoneum associated with pelvic adhesions?
AB  - Objective: To assess whether the abdominal scar characteristics and closure of the peritoneum were associated with pelvic adhesions.Materials and Methods: Patients who had undergone cesarean section between December 2015 and February 2016 were assessed prospectively interms of age, gravida, body mass index, number of living children, number of cesarean sections, time passed since the last cesarean section, closure statusof the peritoneum in the last cesarean section, presence of other diseases, smoking status, location of incision in the abdomen (medial, pfannenstiel) scardimensions (length, width), scar status with respect to skin (hypertrophic, flat, depressive), scar color [color change/no color change (hyperpigmented/hypopigmented)], adhesion of bowel-omentum-uterus, omentum-anterior abdominal wall, uterus-anterior abdominal wall, uterus-bladder, bladderanteriorabdominal wall, fixed uterus, and uterus-omentum-anterior abdominal wall in abdominal exploration.Results: One hundred five pregnant women who had undergone previous ceserean section surgery by the same physician, were at least in their 30thgestational week, had surgery notes about their previous operation, and had no chronic diseases were included in the study. Age, gravida, body mass index,number of children, number of cesarean sections, time passed since the previous cesarean section, closure/non-closure of peritoneum in the previouscesarean section, and smoking status had no effect on pelvic adhesions. Intraabdominal adhesion was not found to be associated with scar length [oddsratio (OR): 1.54, 95% confidence interval (CI): 1.1-2.2; p=0.02], depressive scar (OR: 9.3, 95% CI: 3.2-27.2; p<0.001), or hypopigmented scar [OR: 0.01,95% CI: 0.003-0.11; p<0.001].Conclusion: Adhesions following surgical operations are of great importance due to complications for the patient, complications in relaparotomy, andhigh costs. Depressive and hypopigmented abdominal scars may be associated with pelvic adhesions. We believe that closure or non-closure of the parietalperitoneum is not associated with pelvic adhesions.
AU  - ELÇİ, Gülhan Güneş
AU  - ALMALI, Necat
AU  - Yildizhan, Recep
AU  - ELÇİ, Erkan
AU  - ÇİM, Numan
DO  - 10.4274/tjod.55491
PY  - 2018
JO  - Turkish Journal of Obstetrics and Gynecology
VL  - 15
IS  - 1
SN  - 2149-9322
SP  - 28
EP  - 32
DB  - TRDizin
UR  - http://search/yayin/detay/307264
ER  -