Prospective study of intraabdominal adhesions among women of different races with or without keloids.
OBJECTIVE
We sought to evaluate postsurgical adhesions in women of different races with or without keloids.


METHODS
This was a prospective study evaluating postsurgical adhesions after a cesarean delivery in 429 women with or without keloids. The outcome measures were the prevalence and extent of adhesions in women of different races with or without keloids.


RESULTS
There was no difference in the prevalence of adhesions and adhesion score in various sites among women of different races. Compared with whites (0.5%), keloids were significantly more common in African Americans (7.1%; P = .007; odds ratio, 16.5) and in Asians (5.2%; P = .02; odds ratio, 11.9). Women with keloids were found to have more dense adhesions between the uterus and the bladder (P = .028; 95% confidence interval, 0-12) and between the uterus and the anterior abdominal wall (P < .0001; 95% confidence interval, 8-12).


CONCLUSIONS
The prevalence and degree of postsurgical adhesions in women of different races are comparable. Women with keloids on the cesarean scar have increased adhesions between the uterus and the bladder and between the uterus and the abdominal wall.
Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.
Togas
T
Tulandi
Baydaa
B
Al-Sannan
Ghadeer
G
Akbar
Cleve
C
Ziegler
Louise
L
Miner
D034841:Abdominal Cavity / Q000601:surgery*; D001741:Black or African American; D044466:Asian People; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007627:Keloid / Q000150:complications / Q000453:epidemiology* / Q000208:ethnology; D016017:Odds Ratio; D010532:Peritoneal Diseases / Q000150:complications / Q000453:epidemiology* / Q000208:ethnology; D015995:Prevalence; D011446:Prospective Studies; D000267:Tissue Adhesions / Q000150:complications / Q000453:epidemiology* / Q000208:ethnology; D014591:Uterine Diseases / Q000150:complications / Q000453:epidemiology* / Q000208:ethnology; D044465:White People