Prediction of Intraoperative Adhesions Before CS

NCT06164522 | Unknown

• 1 other identifier: Intraoperative adhesions
• Study Type: observational
• Target: 146
• Locations: 0 countries
• Sites: N/A

Brief Summary

To predict the presence of intra-abdominal adhesions among women undergoing repeated cesarean section using several parameters.

Conditions

Abdominal Adhesion

Outcome Measures

Primary Outcomes (1)

• Predicting presence of intra-abdominal adhesions among women undergoing repeated cesarean section using several parameters.

  Detection of intra-operative adhesions before repeated cesarean section by history, examination and ultrasound

  From January 2024 to February 2025

Interventions

Abdominal ultrasound OTHER

Abdominal ultrasound to detect sliding sign

Eligibility Criteria

• Age: 18 Years - 35 Years
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

1. Pregnant women aged from 18 to 35 years 2. Women with at least one previous C-section 3. Gestational age (≥36 weeks) 4. Planned elective cesarean section

You may qualify if:

• Pregnant women aged from 18 to 35 years
• Women with at least one previous C-section
• Gestational age (≥36 weeks)
• Planned elective cesarean section

You may not qualify if:

• primigravida
• Gestational age (\<36 weeks)
• Pregnant woman who had developed wound site infections following prior cesarean section

Sponsors & Collaborators

• Assiut University: lead

Related Publications (5)

• Shenhav S, Grin L, Kapustian V, Anteby EY, Gdalevich M, Gemer O. Quantifying the effects of postcesarean adhesions on incision to delivery time. J Matern Fetal Neonatal Med. 2019 Aug;32(15):2500-2505. doi: 10.1080/14767058.2018.1439010. Epub 2018 Feb 20.

  PMID: 29415600 BACKGROUND

• Mokhtari M, Yaghmaei M, Akbari Jami N, Roudbari M, Jalalvand D. Prediction of Intraperitoneal Adhesions in Repeated Cesarean Section Using Sliding Sign, Striae Gravidarum, and Cesarean Scar. Med J Islam Repub Iran. 2022 May 2;36:44. doi: 10.47176/mjiri.36.44. eCollection 2022.

  PMID: 36128300 BACKGROUND

• Piessens S, Edwards A. Sonographic Evaluation for Endometriosis in Routine Pelvic Ultrasound. J Minim Invasive Gynecol. 2020 Feb;27(2):265-266. doi: 10.1016/j.jmig.2019.08.027. Epub 2019 Sep 4.

  PMID: 31493569 BACKGROUND

• Awonuga AO, Fletcher NM, Saed GM, Diamond MP. Postoperative adhesion development following cesarean and open intra-abdominal gynecological operations: a review. Reprod Sci. 2011 Dec;18(12):1166-85. doi: 10.1177/1933719111414206. Epub 2011 Jul 20.

  PMID: 21775773 BACKGROUND

• Dogan NU, Haktankacmaz SA, Dogan S, Ozkan O, Celik H, Eryilmaz OG, Doganay M, Gulerman C. A reliable way to predict intraabdominal adhesions at repeat cesarean delivery: scar characteristics. Acta Obstet Gynecol Scand. 2011 May;90(5):531-4. doi: 10.1111/j.1600-0412.2011.01080.x. Epub 2011 Mar 16.

  PMID: 21306338 BACKGROUND

Central Study Contacts

Ahmed Mahmoud Ahmed Essa, Doctor

CONTACT

01008235474; ahmedessa678@yahoo.com

Diaa El deen Mohammed Abd-Elaal El-Nashar, Professor

CONTACT

01005212137; Abdelaald@yahoo.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor

Study Record Dates

• First Submitted: December 2, 2023
• First Posted: December 11, 2023
• Study Start: January 1, 2024
• Primary Completion: January 1, 2025
• Study Completion: February 28, 2025
• Last Updated: December 20, 2023

Record last verified: 2023-12