Small Bowel Injury During Peritoneal Entry at Cesarean Section: A Five-Year Case Series.

cesarean section consent content peritoneal entry risk management small bowel injury

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Nov 2022
Historique:
accepted: 03 11 2022
entrez: 7 12 2022
pubmed: 8 12 2022
medline: 8 12 2022
Statut: epublish

Résumé

Introduction Small bowel injury during peritoneal entry may occur unexpectedly at cesarean section (CS) and may present unexpected management problems and prolonged postoperative hospital stay. Methods This was an observational study of patients who sustained inadvertent injuries compared to those who did not. Both study and control patients had the same number of previous cesarean sections. Findings In this study population, the frequency of small bowel injury during peritoneal entry was 0.0003/10,000 cesarean sections. The majority comprised serosal trauma (7/10) and tended to occur in females who had had two or more CS. Compared to patients with a similar number of previous cesarean sections, patients who sustained small bowel injuries in the index cesarean section were twice as likely to have had adhesiolysis of flimsy or dense lesions in the immediate preceding procedure. Conclusion Bowel injury during peritoneal entry at cesarean section is rare but may be frequently encountered in maternity units with high-volume CS rates.

Identifiants

pubmed: 36475206
doi: 10.7759/cureus.31072
pmc: PMC9720057
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e31072

Informations de copyright

Copyright © 2022, Ahmed et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Rev Urol. 2012;14(3-4):41-7
pubmed: 23526186
Eur Rev Med Pharmacol Sci. 2015;19(11):1959-63
pubmed: 26125254
Am J Obstet Gynecol. 2014 Nov;211(5):446-52
pubmed: 24858198
Am J Obstet Gynecol. 2011 Dec;205(6 Suppl):S2-10
pubmed: 22114995
Obstet Gynecol. 2002 Apr;99(4):553-5
pubmed: 12039109
Am J Obstet Gynecol. 2010 Oct;203(4):406.e1-6
pubmed: 20875502
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990;:1009-16
pubmed: 1983476
World J Surg. 2009 Apr;33(4):748-50
pubmed: 19194740
J Trauma. 1990 Nov;30(11):1427-9
pubmed: 2231822
World J Emerg Surg. 2018 Jun 19;13:24
pubmed: 29946347
BJOG. 2004 Oct;111(10):1090-4
pubmed: 15383111
J Reprod Med. 2011 Mar-Apr;56(3-4):103-9
pubmed: 21542525
Am J Obstet Gynecol. 2011 Dec;205(6 Suppl):S11-8
pubmed: 22114993
BJOG. 2016 Apr;123(5):745-53
pubmed: 26331389
Eur J Obstet Gynecol Reprod Biol. 2006 Mar 1;125(1):50-3
pubmed: 16029923
Am J Obstet Gynecol. 2017 Nov;217(5):564.e1-564.e8
pubmed: 28735704
Arch Trauma Res. 2013 Aug;2(2):81-4
pubmed: 24396799
Hernia. 2010 Oct;14(5):499-504
pubmed: 20490585
Ultrasound Obstet Gynecol. 2018 Nov;52(5):662-665
pubmed: 29575202
Obstet Gynecol Clin North Am. 1999 Sep;26(3):469-80
pubmed: 10472066

Auteurs

Husham A Ahmed (HA)

Obstetrics and Gynecology, Women's Wellness and Research Center, Doha, QAT.

Zeena S Bu Shurbak (ZS)

Obstetrics and Gynecology, Women's Wellness and Research Center, Doha, QAT.

Isaac A Babarinsa (IA)

Obstetrics and Gynecology, Women's Wellness and Research Center, Doha, QAT.

Huda A Hussain Saleh (HA)

Obstetrics and Gynecology, Women's Wellness and Research Center, Doha, QAT.

Najat Khenyab (N)

Obstetrics and Gynecology, Women's Wellness and Research Center, Doha, QAT.

Zia Ahmed (Z)

Surgery, Hamad General Hospital, Doha, QAT.

Fathima Minisha (F)

Obstetrics and Gynecology, Women's Wellness and Research Center, Doha, QAT.

Classifications MeSH