DOI: 10.36347/sjams.2020.v08i09.038

Pages: 2177-2180

Introduction: During present decades caesarean section surgery has become one of the most common obstetric operations worldwide. Adhesions developed after cesarean sections (CS) vary according to the number of repeat section. We have very few data regarding adhesion locally. Aim of the study: The aim of this study was to evaluate the adhesion in previous cesarean sections regarding the sites and types of adhesion. Methods: This is a prospective observatory study conducted in the department of Obstetrics and Gynaecology in US-Bangla Medical College Hospital, Dhaka, Bangladesh during the period from January 2019 to December 2019. The study was approved by the ethical committee of the mention hospital. The proper written consents were obtained from all the participants before starting the main intervention. In total 60 patients with adhesion in previous cesarean sections were selected as the total study population of this study. Results: The most common type of adhesions was uterovesical found in all cases (100%). Omental adhesions with the anterior uterine wall came next in 56 cases (93.33%). Case of uterosigmoid was 18.33% and the case with the uterus intestinal was 11.67% in this study. Besides all these findings in analyzing the sites of adhesions we found the highest 70% cases of avascular. Then both fine and thin were 38.33% separately. On the other hand the frequencies of dense, thick, and vascular and distort anatomy were 58.33%, 45%, 28.33% and 21.67% respectively. Conclusion: A high percentage of cesarean deliveries result in adhesive disease, which delays repeat cesarean delivery of the fetus. The potential for adhesive disease should be included in counseling regarding primary elective cesarean births. The findings may be helpful in the treatment arena and in farther studies.