Adhesions are a common complication after caesarean section. According to the reports of various authors, adhesions may affect from 46% to even 100% of patients. A good appearance of the caesarean section scar is not synonymous with the absence of postoperative adhesions.
The consequences of adhesions after caesarean section include:
- unsightly appearance of the abdominal integuments – the scar grows into the deeper tissues, therefore an overhang of the skin and subcutaneous tissue is formed above the scar,
- chronic pelvic pain,
- obstruction associated with tight bowel syndrome,
- dyspareunia,
- infertility,
- non-specific ailments of the gastrointestinal tract, urinary and reproductive systems.
The long-term consequences of adhesions after caesarean section resulting from restrictions in the healing tissues can be:
- musculoskeletal pain syndromes, such as a disturbed posture and gait pattern, resulting in headaches, pain in the spine and pelvis,
- change in tension and resting length of antagonistic muscle groups,
- change in geometry and decrease in elasticity of the fascia.
Antonina Kaczorowska
References:
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