title: Can We Predict the Presence and Severity of Intra-Abdominal Adhesions before Cesarean Delivery.
abstract: OBJECTIVE
  The study aimed to investigate whether we can predict the presence and severity of intra-abdominal adhesions before cesarean delivery using patient history, symptoms, and abdominal skin scar characteristics.
  
  
  METHODS
  In this prospective study, 143 pregnant women with history of previous abdominal surgery were included and they delivered by cesarean. Preoperative abdominal scar characteristics and symptoms as well as intraoperative abdominal adhesions were evaluated using the Manchester Scar Scale, a symptomatology questionnaire and the More Comprehensive Adhesion Scoring Method, respectively.
  
  
  RESULTS
  Patients with adhesions (n = 98) and without adhesions (n = 45) had similar baseline characteristics. In the adhesion group, abdominal scar scoring parameters were significantly increased. However, there was no significant correlation among total scar score, adhesion score, and symptom score.
  
  
  CONCLUSIONS
  Despite the availability of many proposed methods, accurate prediction of the severity of surgery-related adhesions is beyond our current abilities. Therefore, as healthcare providers, obstetricians should avoid unnecessary use of the cesarean approach. This approach is more effective, beneficial, realizable, and reasonable than the prediction of surgery-related adhesions.
authors.affiliation: Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey.
authors.forename: Enes
authors.initials: E
authors.lastname: Taylan
authors.forename: Ali
authors.initials: A
authors.lastname: Akdemir
authors.forename: Ahmet Mete
authors.initials: AM
authors.lastname: Ergenoglu
authors.forename: Ahmet Ozgur
authors.initials: AO
authors.lastname: Yeniel
authors.forename: Mustafa Agah
authors.initials: MA
authors.lastname: Tekindal
mesh_terms: D000005:Abdomen; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000473:pathology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011446:Prospective Studies; D000267:Tissue Adhesions / Q000517:prevention & control
keywords: Adhesion; Cesarean delivery; Skin scar; Symptoms