Incidence of abdominal wall adhesions at the time of laparoscopic surgery in women with or without previous surgery
CANSAGE ePoster Library. Motamedi N. 09/26/19; 275265; eP-132
Nickan Motamedi
Nickan Motamedi
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Abstract
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Objectives: To determine the incidence of abdominal wall adhesions at the time of laparoscopic surgery in women with or without previous surgeryMethods: Prospective case series (June 2013-November 2014) at an academic affiliated hospital in London, Ontario, involving 283 patients undergoing laparoscopic gynaecologic surgery. Patient surgical histories were collected. The incidence and description of abdominal wall adhesions at the time of laparoscopy were described. Fisher’s exact test was used to compare incidences.Results: The mean (SD) of age, parity and BMI of women were 36.8 (+/- 7.6) years, 0.96 (+/- 1.1), and 27.8 (+/- 6.5) kg/m2, respectively. The incidence of abdominal wall adhesions in women with history of: no previous abdominal surgery-1.9% (2/104); at least one previous laparoscopy-2.0% (2/101, p=1.00); at least one low transverse laparotomy-20.7% (11/53, p<0.001); at least one previous midline laparotomy-33.3% (2/6, p=0.01); open appendectomy or open cholecystectomy-31.6% (6/19, p<0.001). There were no entry related visceral injuries.Conclusions: The incidence of abdominal wall adhesions in women undergoing laparoscopic surgery is the same in those with or without previous laparoscopic surgery of any kind. The incidence is increased in those with previous laparotomy, including low transverse incision. The findings may inform laparoscopists on abdominal wall adhesions to be expected in the corresponding patient populations.
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