C- Section has become a common practice of delivery in today’s world. It is performed in every third women according to the data. It is performed due to various reasons mainly to avoid risk to the mother and the baby. For many it is a regular surgical procedure which may not affect their routine life. But there are people who end up with a scar tissue after cesarean section.

What is this scar tissue? Why is it formed?

Scar tissue is formed by the body naturally to help in healing of the wound formed after any surgical procedure. This happens after a traumatic experience by the body. C-section is one such trauma which the body undergoes and hence the forming of scar tissue is not preventable. This results in adhesions, which are thick and fibrous band of tissue. These adhesions are formed not only after C-section in female but for anyone as a result of an infection or radiation treatment.

Symptoms of an adhesion

Adhesions are not painful so it is difficult to find out if there is adhesion but there are some symptoms which need to be taken care of:

  1. Obstructions in the bowel
  2. Pain in the bowel
  3. Difficulty in standing up
  4. Chronic Pain in the pelvic area
  5. Tenderness in and around the scar area

If any symptoms like above is felt after a C-section or any operation it is better to consult a doctor. It is recommended: scar tissue after cesarean section need to get treated right away. The adhesion can affect the proper function of the small intestine resulting in the above symptoms.

Treatment for adhesions

Depending upon the seriousness of the adhesion a doctor might suggest any of the following treatments.

  1. A doctor could prescribe medicine if the adhesions are mild. It may not be a cure but done to reduce the severity of the infection.
  2. He could also prescribe an antibiotic to reduce the infection. But it is used as a precaution only because in many cases surgery will be required.
  3. Surgery is the final option and is used to clear the blockage and removal of scar tissue.

The above said surgery could be of two types.

  1. Laparoscopy: A small camera is used in this surgery which is placed in the skin to view the scar tissue and this helps the doctor to remove the tissue.
  2. Laparotomy: This requires a bigger incision to be made by the doctor to remove the tissue.

The surgery procedures differ from person to person and doctor to doctor.

Post-surgery consequences:

There are chances of adhesions forming again after surgery because after every surgery the body naturally creates scar tissues. Hence there are many chances of regrowth of adhesions. So some people might require multiple surgeries to overcome adhesions.

Scar tissue and future births:

Many women who underwent C-section in their first delivery are likely to have C-section for the future deliveries. There are chances for normal delivery in some women. In some cases if the C-section scar reopens during the time of next delivery they will be referred for emergency C-sections.

About the author

Sara T. Loving

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