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41917

Pregnancy Rates after Laproscopic Adhesiolysis of Post Ceasarean Adhesions

Article

Last updated: 24 Dec 2024

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Abstract

Background: although cesarean delivery is a relatively simple procedure, it is associated with some long-term sequelae such as peritoneal adhesions that may result in infertility, chronic pelvic pain, or bowel obstruction. Objective: it was to evaluate the efficacy of laproscopic adhesiolysis for post caesarean adhesions evidenced by the pregnancy rates. Patients and Methods: this study was a single armed clinical trial study, which was done at Obstetrics and Gynecology Department of Tanta University Hospital in the period from October 2017 to March 2018. Fifty patients with secondary infertility after previous caesarean delivery were included. Three patients dropped off follow up. Results: pregnancy rate in studied patients, 22 (47%) patients got pregnant, while 25 (53%) patients had no pregnancy Conclusions: there is high incidence of pelvic adhesions in patients with an unexplained secondary infertility following a caesarean delivery, which is mainly periadenxial type. There is a significant increase in pregnancy rate after laproscopic adhesiolysis.

DOI

10.21608/ejhm.2019.41917

Keywords

Caesarean section, Adhesions, Laproscopy, Pregnancy

Authors

First Name

Fayza Alaa El-Din

Last Name

Ghorab

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University

Email

elsherbinyortho@gmail.com

City

-

Orcid

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First Name

Hesham Abdel-Aziz

Last Name

Salem

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University

Email

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City

-

Orcid

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First Name

Ahmed Tawfik

Last Name

Morsy

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University

Email

-

City

-

Orcid

-

First Name

Ayman Shehata

Last Name

Dawood

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University

Email

-

City

-

Orcid

-

Volume

76

Article Issue

4

Related Issue

6546

Issue Date

2019-07-01

Receive Date

2019-07-22

Publish Date

2019-07-01

Page Start

3,992

Page End

3,996

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_41917.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=41917

Order

23

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Pregnancy Rates after Laproscopic Adhesiolysis of Post Ceasarean Adhesions

Details

Type

Article

Created At

22 Jan 2023