ArticleFrontiers in reproductive health2026
Prevalence, patterns, and associated factors of intraperitoneal adhesions among women undergoing gynaecological laparoscopy at a private endoscopic centre in Southeastern Nigeria.
Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Intraperitoneal adhesions are a major cause of chronic pelvic pain, infertility, tubal ectopic pregnancy, intestinal obstruction and increased surgical time globally Objective: To determine the prevalence, pattern and factors associated with intraperitoneal adhesions among women undergoing laparoscopy in a private hospital in Southeastern Nigeria. Methods: We conducted a retrospective analytical cross-sectional study involving women who underwent laparoscopy at a private endoscopic centre. Sociodemographic and clinical characteristics, indications, surgical history, indications for laparoscopy, and intraoperative findings were extracted from the medical records. Peritoneal adhesion index (PAI) scores were calculated for each patient; descriptive and bivariate analyses were conducted. Results: A total of 384 women were included. The mean age was 34.89 ± 6.69 years, and the median parity was 0 (IQR: 0-1). Most of the women had endoscopy on account of infertility ( Conclusion: Nearly half of the women undergoing laparoscopy had intraperitoneal adhesions. Targeted preventive strategies, including minimally invasive surgical approaches and improved reproductive health services, are essential to reduce adhesion-related morbidity. Factors predictive of intraperitoneal adhesions will assist with patient counselling, choice of therapy and optimal operative planning.
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