Objective: Similar to other intra-abdominal operations, previous cesarean section (CS) is associated with intra-peritoneal adhesion (IPA) formation which can cause complications and morbidity during repeat CS. IPA and scar formation are related to the individual healing process. The aim of this study is to find out if previous cesarean scar characteristics could predict the presence and degree of IPA at repeat cesarean delivery. Materials and Methods: Previous CS incision scar characteristics (length, width, pigmentation, and morphology) and the lower abdominal sag of pregnant women meeting the study criteria were evaluated before the operation. During the repeat CS, IPA presence and severity were evaluated and scored according to the clinical adhesion scoring system. Results: IPA severity was significantly related to the previous scar width and degree of abdominal sagging. Conclusions: Evaluation of scar characteristics and abdominal sag before laparotomy could help the surgeon to predict the presence and severity of IPA and to prepare preoperatively for possible complications.
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Köşüş et al. (2024) studied this question.
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