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This incision also comes with possible risks and complications when the incision is made and during repair, including blood loss (possibly leading to anemia), wound infection, fertility problems, premature labor, postoperative pain, and many others. [3] In addition, a rare form of ectopic pregnancy known as scar ectopic pregnancy can occur ...
Hypertrophic (very thick or unsightly) scars are best excised because it gives a better cosmetic result and is associated with improved wound healing. On the other hand, keloid scars should have their margins left without any incision because of risk of tissue reaction in the subsequent scar. [10]
The overall pregnancy rate after adhesiolysis was 60% and the live birth rate was 38.9% according to one study. [45] Age is another factor contributing to fertility outcomes after treatment of AS. For women under 35 years of age treated for severe adhesions, pregnancy rates were 66.6% compared to 23.5% in women older than 35. [42]
[55] [56] Furthermore, prior cesarean delivery is one of the most common risk factors for placenta accreta, due to the presence of a uterine scar leading to abnormal decidualization of the placenta. [57] Due to abnormal adherence of the placenta to the uterine wall, cesarean delivery is often indicated, as well as cesarean hysterectomy. [54]
[1] [3] [4] The threshold for this is passed when the uterus is so large that the fundus may be palpated at the level of the woman's umbilicus; for a singleton pregnancy, this occurs at around 20 weeks of gestational age [3] [4] (but may be earlier in multiple pregnancy). Although hysterotomy is crucial for resuscitation of the mother in such ...
An old cesarean scar may undergo dehiscence; with further labor the woman may experience abdominal pain and vaginal bleeding, though these signs are difficult to distinguish from normal labor. Often a deterioration of the fetal heart rate is a leading sign, but the cardinal sign of uterine rupture is loss of fetal station on manual vaginal exam.
Kerr published the results in 1920, proposing that this method would cause less damage to the vascularized areas of uterus than the classical operation. He claimed that it was better than the longitudinal uterine incision in terms of chances for scar rupture and injury to vessels. [9]
Hysterotomy abortion is a surgical procedure that removes an intact fetus from the uterus in a process similar to a cesarean section. The procedure is generally indicated after another method of termination has failed, or when such a procedure would be medically inadvisable, such as in the case of placenta accreta .