ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2026
Does prior cesarean section increase the risk of periumbilical adhesions in total laparoscopic hysterectomy?
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 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
Introduction: Periumbilical adhesions may complicate laparoscopic entry and increase the risk of intraoperative injury, yet the isolated effect of prior cesarean section (CS) remains unclear. Aim: We aimed to evaluate the association between a history of CS and periumbilical adhesions in total laparoscopic hysterectomy, and assess the value of the visceral slide. Materials and methods: A total of 100 patients undergoing total laparoscopic hysterectomy were enrolled and divided into 2 groups: individuals with a history of CS and those with no prior abdominal surgeries. Preoperative visceral slide and intraoperative adhesion assessment were performed. Perioperative outcomes were recorded and a multivariable analysis was conducted. Results: Adhesions were more frequent in the CS group (22% vs 10%; Conclusions: A history of CS alone does not significantly increase periumbilical adhesions or compromise entry safety in total laparoscopic hysterectomy. Routine modification of the entry strategy may not be necessary. The visceral slide is useful for confirming adhesions, but does not exclude them.
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