Late post-cesarean surgical complication

The aim of the study was to clarify the incidence, indication, and management of late surgical intervention following cesarean section (CS) in a tertiary care university hospital.

A cohort of 5981 women underwent CS from a group of 24,060 parturients in a retrospective study at a tertiary care university hospital. Surgical intervention after CS in the late postoperative period (after puerperium) was reviewed regarding clinical, operative, and pathological findings.

The CS rate was 24.86%. The incidence of late surgical intervention after CS was 0.40% (24/5981); of these 24 women, 10 (41.67%) were operated for skin lesions, two (8.3%) for urogenital fistula, three (12.5%) for gastrointestinal problems, three (12.5%) for omental masses and six (25%) for pelvic lesions.

Although the incidence of surgical intervention after CS in the late postoperative period is low and the outcome is favorable, several measures must be undertaken to reduce late surgical complications.