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Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk (of paralysis or even death). [ 2 ]
Adhesions form as a natural part of the body's healing process after surgery in a similar way that a scar forms. The term "adhesion" is applied when the scar extends from within one tissue across to another, usually across a virtual space such as the peritoneal cavity. Adhesion formation post-surgery typically occurs when two injured surfaces ...
Intrauterine adhesions also form after hysteroscopic surgery such as myomectomy, polypectomy or septum removal. [25] [26] Mechanical barriers such as Womed Leaf [27] or hyaluronic acid gels can be used to prevent formation of IUA after such adhesiogenic procedures or after D&C. [28] [29] [30] [31]
Bremner, a 38-year-old mother and waitress, said she then felt her C-section scar "burst" open, leaving her cradling her intestines, which poured out of the wound.
In the United States, Interceed, [4] Seprafilm [5] and Adept [6] are the three products approved by the U.S. Food and Drug Administration (FDA) for use as an adhesion barrier after abdominal or pelvic surgery. Seprafilm (made by Genzyme) is a clear, sticky film composed of chemically modified sugars, some of which occur naturally in the human ...
In July 2010, The American Congress of Obstetricians and Gynecologists (ACOG) similarly revised their own guidelines to be less restrictive of VBAC, stating, "Attempting a vaginal birth after cesarean (VBAC) is a safe and appropriate choice for most women who have had a prior cesarean delivery, including for some women who have had two previous ...
A common complication of all abdominal surgeries is adhesions. Adhesions are bands of scar tissue that form after surgery or injury to the abdomen. They can displace or obstruct areas of the bowel. Approximately 1 in 5 emergency surgeries are due to adhesive bowel obstruction.
In the United Kingdom, the surgery was first popularised by Dr. Monroe Kerr, who first used it in 1911, so in English speaking countries it is sometimes called the Kerr incision or the Pfannenstiel-Kerr incision. Kerr published the results in 1920, proposing that this method would cause less damage to the vascularized areas of uterus than the ...