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Prospective study of intraabdominal adhesions among women of different races with or without keloids.

Abstract：

OBJECTIVE:We sought to evaluate postsurgical adhesions in women of different races with or without keloids. STUDY DESIGN:This was a prospective study evaluating postsurgical adhesions after a cesarean delivery in 429 women with or without keloids. The outcome measures were the prevalence and extent of adhesions in women of different races with or without keloids. RESULTS:There was no difference in the prevalence of adhesions and adhesion score in various sites among women of different races. Compared with whites (0.5%), keloids were significantly more common in African Americans (7.1%; P = .007; odds ratio, 16.5) and in Asians (5.2%; P = .02; odds ratio, 11.9). Women with keloids were found to have more dense adhesions between the uterus and the bladder (P = .028; 95% confidence interval, 0-12) and between the uterus and the anterior abdominal wall (P < .0001; 95% confidence interval, 8-12). CONCLUSION:The prevalence and degree of postsurgical adhesions in women of different races are comparable. Women with keloids on the cesarean scar have increased adhesions between the uterus and the bladder and between the uterus and the abdominal wall.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Tulandi T,Al-Sannan B,Akbar G,Ziegler C,Miner L

doi

10.1016/j.ajog.2010.09.005

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

132.e1-4

issue

2

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(10)01131-2

journal_volume

204

pub_type

杂志文章

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