Outcome of laparoscopic adhesiolysis in infertile patients with pelvic adhesions following cesarean delivery: a randomized clinical trial

Al-Gergawy, Adel A.; Dawood, Ayman Shehata; Salem, FA Hesham A.; Alhalwagy, A.

doi:10.1016/j.fertnstert.2019.07.225

Cited by 1 publication

(2 citation statements)

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“…Overall, it can be concluded that laparoscopic adhesiolysis is the method of choice to deal with mild to moderate periadnexal adhesions following CS [41,46].…”

Section: Intraabdominal Adhesionsmentioning

confidence: 94%

“…The latter include chronic pelvic pain, diarrhea, constipation, and irritable bowel syndrome [37][38][39][40]. In addition, post-CS adhesions can also affect the reproductive tract and can cause secondary infertility by attaching organs away from their normal site and/or disturbing the motility of the Fallopian tubes [12,15,17,[41][42][43][44]. In terms of fertility, it has been suggested that affected women would benefit from laparoscopic adhesiolysis [45].…”

Section: Intraabdominal Adhesionsmentioning

confidence: 99%

See 1 more Smart Citation

The impact of Cesarean section on female fertility: a narrative review

Hinterleitner¹,

Kiss²,

Ott³

2021

Clinical and Experimental Obstetrics & Gynecology

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The mode of giving birth has changed over the years. In 1990, approximately 10% of women delivered by Cesarean section (CS), whereas this procedure is performed daily in obstetrics today. When a surgical intervention performed, it is necessary to consider special risks and complications, including long-term effects. Mechanism: This review focuses on fertility after CS. Evidence suggests that many women who aim to have subsequent children have difficulties becoming pregnant after they have delivered by CS. Findings: There are several causes for subfertility/infertility after CS, including post-Cesarean niches, intraabdominal adhesions, and the preference for a smaller family size, among others. Conclusion: This review provides an overview of the available literature, which supports the conclusion that CS is associated with decreased odds of subsequent pregnancy and live birth.

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“…Overall, it can be concluded that laparoscopic adhesiolysis is the method of choice to deal with mild to moderate periadnexal adhesions following CS [41,46].…”

Section: Intraabdominal Adhesionsmentioning

confidence: 94%