Table 2 Prevalence, site and extent of adhesions at repeat cesarean delivery (CS)
From: Clinical relevance of intra-abdominal adhesions in cesarean delivery
Repeat 1 CS (430) | Repeat ≥ 2 CS (106) | P value | |
|---|---|---|---|
Filmy adhesion, uterus to bladder | |||
1/3 adhesion | 155 (36.0%) | 30 (28.3%) | NS |
1/3–2/3 adhesion | 52 (12.1%) | 13 (12.3%) | NS |
>2/3 adhesion | 32 (7.4%) | 13 (12.3%) | NS |
Total | 239 (55.5%) | 56 (52.9%) | NS |
Dense adhesion, uterus to bladder | |||
1/3 adhesion | 70 (16.3%) | 20 (18.9%) | NS |
1/3–2/3 adhesion | 39 (9.1%) | 14 (13.2%) | NS |
>2/3 adhesion | 19 (4.4%) | 15 (14.2%) | 0.0005 |
Total | 128 (29.8%) | 49 (46.3%) | 0.001 |
Filmy adhesion, uterus to abdomen | |||
1/3 adhesion | 102 (23.7%) | 19 (17.9%) | NS |
1/3–2/3 adhesion | 35 (8.1%) | 11 (10.4%) | NS |
>2/3 adhesion | 14 (3.3%) | 6 (5.7%) | NS |
Total | 151 (35.1%) | 36 (34%) | NS |
Dense adhesion, uterus to abdomen | |||
1/3 adhesion | 58 (13.5%) | 22 (20.8%) | NS |
1/3–2/3 adhesion | 38 (8.8%) | 16 (15.1%) | NS |
>2/3 adhesion | 14 (3.3%) | 13 (12.3%) | 0.0004 |
Total | 110 (25.6%) | 51 (48.2%) | 0.0001 |
Filmy adhesion, uterus to intestine | |||
1/3 adhesion | 44 (10.2%) | 10 (9.4%) | NS |
1/3–2/3 adhesion | 10 (2.3%) | 4 (3.8%) | NS |
>2/3 adhesion | 1 (0.2%) | 3 (2.8%) | <0.05 |
Total | 55 (12.7%) | 17 (16%) | NS |
Dense adhesion, uterus to intestine | |||
1/3 adhesion | 11 (2.6%) | 5 (4.7%) | NS |
1/3–2/3 adhesion | 6 (1.4%) | 1 (0.9%) | NS |
>2/3 adhesion | 3 (0.7%) | 3 (2.8%) | NS |
Total | 20 (4.7%) | 9 (8.5%) | NS |
Filmy adhesion, uterus to omentum | |||
1/3 adhesion | 63 (14.7%) | 20 (18.9%) | NS |
1/3–2/3 adhesion | 19 (4.4%) | 10 (9.4%) | NS |
>2/3 adhesion | 2 (0.5%) | 5 (4.7%) | 0.002 |
Total | 84 (19.6%) | 35 (33%) | 0.004 |
Dense adhesion, uterus to omentum | |||
1/3 adhesion | 35 (8.1%) | 10 (9.4%) | NS |
1/3–2/3 adhesion | 17 (4%) | 5 (4.7%) | NS |
>2/3 adhesion | 2 (0.5%) | 3 (2.8%) | NS |
Total | 54 (12.6%) | 18 (16.9%) | NS |