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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| repeated caesarean section | full term pregnant women with singleton baby with a history of at least previous one caesarean section |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sliding test | Diagnostic Test | ultrasound detected sliding test before doing repeated caesarean section |
|
| Measure | Description | Time Frame |
|---|---|---|
| intra-abdominal adhesion | presence of adhesion between uterus and abdominal wall or intestine on bladder | intra-operative period |
| Measure | Description | Time Frame |
|---|---|---|
| skin to uterine incision time | time consumed by surgeon from skin incision to uterine incision in minutes | intra-operative period |
| need to insert intra-peritoneal drain | if there in marked adhesion and vascular injury a drain could be inserted |
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Inclusion Criteria:
Exclusion Criteria:
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pregnant women in their 9th-month singleton planned for elective repeated CS and had a history of previous CS
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| nahed allam, MD | Contact | +0201121116136 | nahedallam16@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Taiseer Maarouf, MD | Al-Azhar University | Study Chair |
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It is not yet known if there will be a plan to make IPD available.discussion with the other authors after completion of recruitment of patients
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| ID | Term |
|---|---|
| D000267 | Tissue Adhesions |
| ID | Term |
|---|---|
| D002921 | Cicatrix |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| intraoperative period |