The effectiveness of preoperative diagnostic methods in predicting intra-abdominal adhesions before repeat cesarean section delivery

Sönmez, Seyhan; Akselim, Burak; Karaşin, Süleyman Serkan

doi:10.1590/1806-9282.20221455

Cited by 3 publications

(1 citation statement)

References 18 publications

(29 reference statements)

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“…They undoubtedly have a negative impact on the women both psychologically and on the quality of life 3,16,38,39 . Furthermore, the presence of striae seems to be a predictive marker of the risk of intraperitoneal adhesions in the event of repeated caesarean sections, 40–46 perineal trauma during childbirth, 47–49 and pelvic organ prolapse 50 . There also appears to be a correlation between the presence and severity of striae and the presence and severity of stress urinary incontinence, 51 pelvic floor pain, 52 low back pain, 53 and obstetric anal sphincter injury during childbirth 54 …”

Section: Introductionmentioning

confidence: 99%

V‐EMF therapy: A new painless and completely non‐invasive treatment for striae gravidarum

Veronese,

Bacci,

Garcia‐Gimenez

et al. 2024

J of Cosmetic Dermatology

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BackgroundThe appearance of striae gravidarum (SG) during pregnancy is a common problem. The most common SG are abdominal striae, which can cause the greatest sequelae after pregnancy, and in the long term. There are several solutions to prevent and treat these striae, but not all are completely effective, and not without side effects.AimsThe aim of this study was to evaluate the effectiveness of a treatment that applies an electromagnetic field under vacuum (V‐EMF therapy) on the abdominal SG.MethodsA retrospective analysis was conducted on the medical records of 26 women affected by abdominal SG and treated with V‐EMF therapy. The results were evaluated using two different 5‐point Likert Scales: one administered to the treated subjects to evaluate their satisfaction, and one to the doctors who performed the treatment, to evaluate the improvement of the striae. The presence of side effects, and the effects of sun exposure after treatment were also considered.ResultsOnly two treated subjects rated their level of satisfaction with a Score III on the Liker Scale. Everyone else expressed higher levels of satisfaction. Only one doctor rated the improvement of the striae with a Liker scale score of III. All the others reported greater improvements. No discomfort or side effects were noted either during the individual treatment sessions, or at the end of the treatment. The striae showed a newfound ability to tan.ConclusionsV‐EMF therapy proves to be a valid, safe, and effective treatment modality for SG.

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Section: Introductionmentioning

confidence: 99%

V‐EMF therapy: A new painless and completely non‐invasive treatment for striae gravidarum

Veronese,

Bacci,

Garcia‐Gimenez

et al. 2024

J of Cosmetic Dermatology

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Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy?

Shu,

Wen,

2023

BMC Surg

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Purpose This current study aimed to explore whether gastrectomy history influenced surgical outcomes while undergoing laparoscopic cholecystectomy (LC). Methods The PubMed, Embase, and Cochrane Library databases were searched for eligible studies from inception to April 29, 2023. The Newcastle–Ottawa Scale (NOS) was adopted to assess the quality of included studies. The mean differences (MDs) and 95% confidence intervals (CIs) were calculated for continuous variables, and the odds ratios (ORs) and 95% CIs were calculated for dichotomous variables. RevMan 5.4 was used for data analysis. Results Seven studies enrolling 8193 patients were eligible for the final pooling up analysis (380 patients in the previous gastrectomy group and 7813 patients in the non-gastrectomy group). The patients in the gastrectomy group were older (MD = 11.11, 95%CI = 7.80–14.41, P < 0.01) and had a higher portion of males (OR = 3.74, 95%CI = 2.92–4.79, P < 0.01) than patients in the non-gastrectomy group patients. Moreover, the gastrectomy group had longer LC operation time (MD = 34.17, 95%CI = 25.20–43.14, P < 0.01), a higher conversion rate (OR = 6.74, 95%CI = 2.17–20.26, P = 0.01), more intraoperative blood loss (OR = 1.96, 95%CI = 0.59–3.32, P < 0.01) and longer postoperative hospital stays (MD = 1.07, 95%CI = 0.38–1.76, P < 0.01) than the non-gastrectomy group. Conclusion Patients with a previous gastrectomy history had longer operation time, a higher conversion rate, more intraoperative blood loss, and longer postoperative hospital stays than patients without while undergoing LC. Surgeons should pay more attention to these patients and make prudent decisions to avoid worse surgical outcomes as much as possible.

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Ultrasonography Sliding Sign as a Predictor for Intraabdominal Adhesions in Repeated Cesarean Deliveries: Retrospective Cohort Study

Yavuz,

Atlihan,

Ata

et al. 2024

Preprint

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Background: Our objective was to evaluate the ultrasonography sliding sign with enhanced reliability using an interobserver approach, with the aim of predicting standardized intra-abdominal adhesions before cesarean section. Methods: Between January 2022 and January 2024, this retrospective cohort study included 350 individuals who underwent cesarean section. Data from 198 participants who met the inclusion criteria were analyzed. Analyzes were made with SPSS 26.0. The Mann-Whitney Uitest was employed to assess variables that were not normallyidistributed. Chi-squareitest and Fisheriprecision test were employed in the categoricalidata analysis. These were presented as counts and percentages (%). An inter-rater reliability analysis was performed for ultrasonography sliding sign finding. For this purpose, the Cohen’s Kappa was calculated. Receiver operatingicharacteristic analysis was used to determine the area under theicurve, which indicates the average sensitivity of ultrasonography sliding sign finding. There was a 95% confidenceiinterval for the results. A p-value of less than 0.05 was deemedistatistically significant. To assess slidingxsigns, all pregnant participants received transabdominalxultrasonography. The study achieved triple blinding: both sonographers were blinded to surgical findings, the surgeon remained blinded to ultrasound findings, and the data analyst was blinded to both sonographic and surgical findings. According to the Nair's modified scoringisystem, the cases were classified as Group 1 (Adhesions present [Grade ≥ 1]; n=107, 54%) and Group 2 (No adhesions [Grade 0]; n=91, 46%). Results: The diagnostic value of transabdominal ultrasonography sliding sign for detecting the presence of intra-abdominaliadhesion (according to the Modified Nair’s Scoring system) yielded a 84.6% specificity and 58.9% sensitivity. A Nair's score ≥2 was identified as the cut-off point, with the sliding sign finding being statistically significant, resulting in a 70% specificity and 54% sensitivity. Conclusion: This research validates the use of a sliding sign during transabdominal ultrasonography in pre-cesarean evaluation in patients with previous cesarean section. It has been shown that applying the adhesion scoring system categorically as well as using it numerically makes a difference by analyzing the cut-off point of Nair's score as 2. From this perspective, the reliability of the sliding sign finding in transabdominal ultrasound will be better demonstrated.

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The effectiveness of preoperative diagnostic methods in predicting intra-abdominal adhesions before repeat cesarean section delivery

Cited by 3 publications

References 18 publications

V‐EMF therapy: A new painless and completely non‐invasive treatment for striae gravidarum

V‐EMF therapy: A new painless and completely non‐invasive treatment for striae gravidarum

Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy?

Ultrasonography Sliding Sign as a Predictor for Intraabdominal Adhesions in Repeated Cesarean Deliveries: Retrospective Cohort Study

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