Ghorab, F., Salem, H., Morsy, A., Dawood, A. (2019). Pregnancy Rates after Laproscopic Adhesiolysis of Post Ceasarean Adhesions. The Egyptian Journal of Hospital Medicine, 76(4), 3992-3996. doi: 10.21608/ejhm.2019.41917
Fayza Alaa El-Din Ghorab; Hesham Abdel-Aziz Salem; Ahmed Tawfik Morsy; Ayman Shehata Dawood. "Pregnancy Rates after Laproscopic Adhesiolysis of Post Ceasarean Adhesions". The Egyptian Journal of Hospital Medicine, 76, 4, 2019, 3992-3996. doi: 10.21608/ejhm.2019.41917
Ghorab, F., Salem, H., Morsy, A., Dawood, A. (2019). 'Pregnancy Rates after Laproscopic Adhesiolysis of Post Ceasarean Adhesions', The Egyptian Journal of Hospital Medicine, 76(4), pp. 3992-3996. doi: 10.21608/ejhm.2019.41917
Ghorab, F., Salem, H., Morsy, A., Dawood, A. Pregnancy Rates after Laproscopic Adhesiolysis of Post Ceasarean Adhesions. The Egyptian Journal of Hospital Medicine, 2019; 76(4): 3992-3996. doi: 10.21608/ejhm.2019.41917
Pregnancy Rates after Laproscopic Adhesiolysis of Post Ceasarean Adhesions
Department of Obstetrics and Gynecology, Faculty of Medicine, Tanta University
Abstract
Background: although cesarean delivery is a relatively simple procedure, it is associated with some long-term sequelae such as peritoneal adhesions that may result in infertility, chronic pelvic pain, or bowel obstruction. Objective: it was to evaluate the efficacy of laproscopic adhesiolysis for post caesarean adhesions evidenced by the pregnancy rates. Patients and Methods: this study was a single armed clinical trial study, which was done at Obstetrics and Gynecology Department of Tanta University Hospital in the period from October 2017 to March 2018. Fifty patients with secondary infertility after previous caesarean delivery were included. Three patients dropped off follow up. Results: pregnancy rate in studied patients, 22 (47%) patients got pregnant, while 25 (53%) patients had no pregnancy Conclusions: there is high incidence of pelvic adhesions in patients with an unexplained secondary infertility following a caesarean delivery, which is mainly periadenxial type. There is a significant increase in pregnancy rate after laproscopic adhesiolysis.
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