Efficacy of striae gravidarum extension and localization on predicting intraperitoneal adhesion risk

dc.authoridKan, Özgür / 0000-0003-3994-0094
dc.contributor.authorKan, Özgür
dc.contributor.authorGörkem, Ümit
dc.contributor.authorAlkılıç, Ayşegül
dc.contributor.authorÇetin, Mustafa
dc.date.accessioned2021-11-01T15:01:59Z
dc.date.available2021-11-01T15:01:59Z
dc.date.issued2019
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractAim 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.
dc.identifier.citationKan, 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.
dc.identifier.doi10.1111/jog.14125
dc.identifier.endpage2363en_US
dc.identifier.issn1341-8076
dc.identifier.issn1447-0756
dc.identifier.issue12en_US
dc.identifier.pmid31531933
dc.identifier.scopus2-s2.0-85073813672
dc.identifier.scopusqualityQ2
dc.identifier.startpage2358en_US
dc.identifier.urihttps://doi.org/10.1111/jog.14125
dc.identifier.urihttps://hdl.handle.net/11491/6797
dc.identifier.volume45en_US
dc.identifier.wosWOS:000486797900001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKan, Özgür
dc.institutionauthorGörkem, Ümit
dc.institutionauthorÇetin, Mustafa
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal Of Obstetrics And Gynaecology Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAdhesionen_US
dc.subjectCesareanen_US
dc.subjectPregnancyen_US
dc.subjectStretch Marken_US
dc.subjectStriae Gravidarumen_US
dc.titleEfficacy of striae gravidarum extension and localization on predicting intraperitoneal adhesion risk
dc.typeArticle

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