{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:04Z","timestamp":1787169724550,"version":"build-2736575974"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Peritoneal adhesions unlike other immediately recognizable complications of the surgery may produce long-term consequences, which include infertility and intestinal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The study aimed to determine the prevalence, the determinants, and the outcomes of laparoscopic surgery associated with intraperitoneal adhesion findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This was a retrospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      The study included all laparoscopic gynecological surgeries done between January 2017 and December 2021. Adhesion severity was graded, using the peritoneal adhesion index (PAI), by Coccolini\n                      <jats:italic toggle=\"yes\">et al<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis:<\/jats:title>\n                    <jats:p>The data were analyzed using the SPSS version 21.0. Binary logistic regression was used to assess the factors associated with adhesion finding during laparoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 158 laparoscopic surgeries with 26.6% prevalence of peritoneal adhesions. The prevalence of adhesions among women with previous surgery was 72.7%. Previous peritoneal surgery was a significant determinant of occurrence of adhesions (odds ratio = 8.291, 95% confidence interval [CI] = 4.464\u201315.397,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and such patients had significantly (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.025, 95% CI = 0.408\u20135.704) more severe adhesions (PAI = 11.16 \u00b1 3.94) than those without prior surgery (PAI = 8.10 \u00b1 3.14). Abdominal myomectomy (PAI = 13.09 \u00b1 2.95) was the most important primary surgical determinant of adhesion formation. There was no significant relationship between adhesion occurrence and conversion to laparotomy (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.121) or mean duration of surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.962). Greater adhesion severity was, however, observed in individuals with operative blood loss &lt;100 ml (PAI = 11.73 \u00b1 3.56,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003) and those hospitalized for \u22642 days (PAI = 11.12 \u00b1 3.81,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.022).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The prevalence of postoperative adhesions during laparoscopy in our center is comparable to what has been earlier reported. Abdominal myomectomy is associated with the greatest risk and severity of adhesions. Laparoscopy in patients with more severe adhesions resulted in less blood loss and shorter duration of hospitalization, suggesting an association of better outcomes with a cautious approach to adhesions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_43_22","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T08:01:09Z","timestamp":1680508869000},"page":"145-152","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Peritoneal Adhesion Findings during Laparoscopy"],"prefix":"10.4103","volume":"22","author":[{"given":"John Osaigbovoh","family":"Imaralu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franklin Inyang","family":"Ani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekundayo Oluwole","family":"Ayegbusi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence Adebisi","family":"Oguntade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chimaobi Chukwuemeka","family":"Nwankpa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bukunmi Deborah","family":"Olaleye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-3-20240831","doi-asserted-by":"crossref","first-page":"190","DOI":"10.4103\/GMIT.GMIT_87_20","article-title":"Adhesions after Laparoscopic Myomectomy: Incidence, Risk Factors, Complications, and Prevention","volume":"9","author":"Herman","year":"2020","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R2-3-20240831","first-page":"213","article-title":"Adhesion formation and reproductive outcome after myomectomy and second-look laparoscopy","volume":"82","author":"Tulandi","year":"1998","journal-title":"Obstet Gynecol"},{"key":"R3-3-20240831","doi-asserted-by":"crossref","first-page":"1780","DOI":"10.1016\/j.fertnstert.2010.12.049","article-title":"Adhesion formation after intracapsular myomectomy with or withoutadhesion barrier","volume":"95","author":"Tinelli","year":"2011","journal-title":"Fertil Steril"},{"key":"R4-3-20240831","doi-asserted-by":"crossref","first-page":"16","DOI":"10.4236\/ojog.2014.41004","article-title":"Abdominal and pelvic adhesions: Possible role of leiomyomas and skin scar anomaly in profiling high risk patients","volume":"4","author":"Nzau-Ngoma","year":"2014","journal-title":"Open J Obstet Gynecol"},{"key":"R5-3-20240831","first-page":"391","article-title":"Prevalence and pattern of intra-abdominal adhesions seen at diagnostic laparoscopy among infertile women with prior open appendicectomy in Nnewi, south-east Nigeria","volume":"1","author":"Ikechebelu","year":"2010","journal-title":"J Med Med Sci [Internet"},{"key":"R6-3-20240831","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.jmig.2014.12.009","article-title":"Postoperative Adhesions as a Consequence of Pelvic Surgery","volume":"22","author":"Bolnick","year":"2015","journal-title":"J Minim Invasive Gynecol"},{"key":"R7-3-20240831","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1186\/s12978-017-0388-0","article-title":"Prevalence of adhesions and associated postoperative complications after cesarean section in Ghana: a prospective cohort study","volume":"14","author":"Nuamah","year":"2017","journal-title":"Reprod Health"},{"key":"R8-3-20240831","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.amjsurg.2014.12.017","article-title":"Open abdominal surgery: a risk factor for future laparoscopic surgery?","volume":"209","author":"Seetahal","year":"2015","journal-title":"Am J Surg"},{"key":"R9-3-20240831","first-page":"1","article-title":"Surgical adhesions among women undergoing laparoscopic gynecological surgery with or without adhesiolysis - 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