Abstract: Objective To investigate the influence of different methods of cesarean section on intra-abdominal adhesion and abdominal wall adhesions of parturients. Methods A total of 115 parturients performed repeated cesarean were divided into stark group (received Stark cesarean section, 62 cases) and routine group (received longitudinal incision cesarean section). The healing of incision for previous cesarean section, location and degree of adhesion of the two groups were observed and evaluated, the open procedure time, operation time and perioperative blood loss of the two groups were recorded. Results The results showed the recovery of healing of incision of the sark group was better, the fine scar rate was 87.10%, which was significantly higher than that of in routine group(30.19%), (P<0.05), the incidence of adhesion was 4.84%(3/62), which was statistically lower than that of in routine group(16.98%), (P<0.05), among them, the incidences of adhesion between colic omentum and abdominal wall (3.23%) as well as lower uterine segment (1.61%), bladder and middle uterinesegment (0) as well as lower uterine segment (0) were all obviously lower than those of in routine group (7.55%, 3.77%, 3.77% and 1.89% respectively)(P<0.05). The open procedure time of Stark group was statistically longer than that of routine group (P<0.05), perioperative blood loss was statistically less than that of routine group (P<0.05), but no statistical difference in operation time was observed between the two groups (P>0.05). Conclusion Although stark cesarean section has more perioperative blood loss, it has obvious advantages in the recovery of incision, reducing intra-abdominal adhesion and abdominal wall adhesions than longitudinal incision cesarean section, which has little influence on repeated cesarean of parturients, thus it is worthy of extensively applied in clinic practices.

Key words: cesarean section, adhesion, repeated surgery