Investigating the possible relationship between post-surgical adhesions, reported pain and scar tissue quality following Caesarean section using transabdominal ultrasound.
Item
- Title
- Investigating the possible relationship between post-surgical adhesions, reported pain and scar tissue quality following Caesarean section using transabdominal ultrasound.
- Author(s)
- Spens, K
- Abstract
- Title: Investigating the possible relationship between post-surgical adhesions, reported pain and scar tissue quality following Caesarean Section (SC) surgery using Trans-abdominal Ultrasound (TAUS). Introduction: CS is increasingly popular worldwide, despite the many complications it poses for the patient. The relationship between scar tissue quality, impact on patient quality of life and symptoms following CS, in combination with TAUS assessment of adhesions is poorly understood. Method: In this Causative study, CS scars in women with a history of transverse lower-segment CS were measured using TAUS. The relationship between visceral slide (VS) and adhesion criteria (ADH) on TAUS, tissue quality results from Patient and Observer Scar Assessment Scale (POSAS) and clinical symptoms recorded from a Numerical Rating Scale (NRS) Questionnaire were evaluated. Women with existing Gynaecological conditions including, Endometriosis, Fibroids, Polyps and Malignancy were excluded from the study.as were pregnant women. TAUS VS was calculated as <1cm movement for adhesions and ADH findings were classified into categories; 0-3 (low adhesions) and 4-6 (high adhesions). The relationship between NRS, POSAS and TAUS findings were calculated using Fishers Exact. NRS and POSAS were calculated for correlation using Spearman Correlation Coefficient.Results: 32 women were assessed by TAUS in two groups; 22 participants with a history of 1-3 CS (mean 1.14). 10 participants with a history of 1-2 vaginal deliveries (mean 0.82), were included in the control population for comparison. Reduced VS was found to have an association with increased pelvic pain (p<0.043) and increased CS scar pain (p<0.004). The null hypothesis that there is not an association between adhesion presence and pain levels was disproved.Conclusion: TAUS in the detection of post-operative adhesions showed positive associations to pelvic pain (NRS) and scar pain (POSAS). The study design requires minor modification for validation and inter-rater reliability, before a larger scale study is indicated.
- presented at
- European School of Osteopathy
- Date Accepted
- 2014
- Date Submitted
- 20.1.2015 16:43:40
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15531
- Inst-Identifier
- 1229
- Keywords
- Scar, Sonography, POSAS.
- Recommended
- 0
- Item sets
- Thesis
Spens, K, “Investigating the possible relationship between post-surgical adhesions, reported pain and scar tissue quality following Caesarean section using transabdominal ultrasound.”, Osteopathic Research Web, accessed May 3, 2025, https://www.osteopathic-research.com/s/orw/item/633