Recognition of intraabdominal adhesion before doing repeated cesarean section is helpful for the surgeon and patients.
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 Type
OBSERVATIONAL
Enrollment
27
ultrasound detected sliding test before doing repeated caesarean section
intra-abdominal adhesion
presence of adhesion between uterus and abdominal wall or intestine on bladder
Time frame: intra-operative period
skin to uterine incision time
time consumed by surgeon from skin incision to uterine incision in minutes
Time frame: intra-operative period
need to insert intra-peritoneal drain
if there in marked adhesion and vascular injury a drain could be inserted
Time frame: intraoperative period
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