Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/3789
Title: Efficacy of striae gravidarum extension and localization on predicting intraperitoneal adhesion risk
Authors: Kan, Özgür
Görkem, Ümit
Alkılıç, Ayşegül
Çetin, Mustafa
Keywords: adhesion
cesarean
pregnancy
stretch mark
striae gravidarum
Issue Date: Dec-2019
Publisher: Japan Society of Obstetrics and Gynecology
Source: Kan, O., Gorkem, U., Alkilic, A., & Cetin, M. (2019). Efficacy of striae gravidarum extension and localization on predicting intraperitoneal adhesion risk. Journal of Obstetrics and Gynaecology Research, 45(12), 2358-2363.
Abstract: Aim: To evaluate the diagnostic value of striae gravidarum (SG) presence and localization in predicting the intraperitoneal adhesion (IPA) risk in pregnant women with a history of at least one previous cesarean delivery (CD). Methods: A total of 100 pregnant women with repeated CD were included in this prospective observational study. Patients were divided into three groups according to severity of SG with Davey scoring system. Intraoperative adhesion severity and extension were evaluated by using Nair classification system. Moreover, operation duration and neonatal outcomes were analyzed. Results: Demographic features were comparable between the groups. Adhesion scores were significantly higher in mild and severe SG groups (for mild SG: 1.93 ± 0.99, for severe SG: 2.81 ± 0.88 and for no SG: 1.4 ± 0.57; P < 0.001). Analysis revealed a positive correlation between IPA and severity of SG (P < 0.001). There was a correlation between increased striae density and adhesion severity especially in the right and left upper quadrants of the abdomen (for right quadrant: r = 0.515, P < 0.001; for left quadrant: r = 0.359, P = 0.005). Conclusion: Our results suggest that preoperative evaluation of SG severity and extend particularly in upper quadrants is a feasible option to predict IPA risk in patients with repeated CD.
URI: https://hdl.handle.net/20.500.11851/3789
https://doi.org/10.1111/jog.14125
ISSN: 1341-8076
Appears in Collections:Cerrahi Tıp Bilimleri Bölümü / Department of Surgical Sciences
PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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