Prevalence and Severity of Surgical Adhesions Among Women Undergoing Laparoscopic Surgery at Women's Health Hospital: A Prospective Cross-sectional Study | ||
| Journal of Current Medical Research and Practice | ||
| Volume 10, Issue 4, October 2025, Pages 137-148 PDF (286.92 K) | ||
| Document Type: Original Article | ||
| Authors | ||
| Mostafa Ibrahim1; Mohamad S. Abdellah1; Ibrahim I. Mohamed1; Mahmoud S. Mohamed* 2; Ahmed Farouk1 | ||
| 1Department of Obstetrics & Gynecology, Woman's Health University Hospital, Assiut, Egypt. | ||
| 2Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut university, Assiut, Egypt. | ||
| Abstract | ||
| Background: Postoperative adhesions are a frequent complication of gynecological surgeries, affecting up to 93% of patients and causing chronic pain, infertility, and bowel obstruction. Despite advancements in surgical techniques and anti-adhesion strategies, the incidence remains high. Adhesions result from surgical trauma, endometriosis, and pelvic infections. Current preventive measures, including pharmacological agents and mechanical barriers, yield inconsistent results, necessitating further research. Patients and Methods: A prospective cross-sectional study from February 1, 2023, to January 1, 2024, at Women's Health Hospital, Assiut University, included 127 women undergoing laparoscopic surgery. Participants were aged 14 years or older and provided informed consent. Data collection included demographic, medical, and surgical histories and intraoperative findings. Adhesion severity was evaluated using the Modified Togas Tulandi classification system. Statistical analysis was performed using SPSS, with significance at p < 0.05. Results: Of the 127 participants, 50.3% had adhesions, 29.7% classified as mild, 20.3% as moderate, and 50% as severe. Severe adhesions were significantly associated with older age, higher parity, and a history of cesarean sections. No significant differences were observed in BMI or residence between groups. Conclusions: Surgical adhesions are common in women undergoing laparoscopic surgery. The Modified Togas Tulandi classification effectively stratifies adhesion severity, aiding clinical management. These findings underscore the need for improved surgical techniques and preventive measures. Further research is required to develop innovative strategies for adhesion prevention and management. | ||
| Keywords | ||
| Pelvic adhesion; adhesion score; gynecologic surgery; laparoscopy; and a Cesarean section | ||
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