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Evaluation of combinations of procedures in cesarean section
Author(s) -
Stark M.,
Chavkin Y.,
Kupfersztain C.,
Guedj P.,
Finkel A.R.
Publication year - 1995
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(94)02306-j
Subject(s) - medicine , surgery , uterus , abdomen , incidence (geometry) , section (typography) , anesthesia , physics , advertising , optics , business
Objective: To evaluate a procedure for cesarean section, consisting of a number of surgical techniques adopted from various sources and further developed. Methods: The principal elements of the cesarean section procedure followed were: the Joel‐Cohen method for opening the abdomen, suturing the uterus in one layer, and non‐closure of the visceral and parietal peritoneal layers. The postoperative recovery of women who underwent this procedure (JCl−− group) was compared with that of women who had undergone a Pfannenstiel incision, in which the uterus is sutured in two layers, and both peritoneal layers sutured (Pf2++ group). Results: The incidence of postoperative febrile morbidity was 7.7% in the JCl−− group compared with 19.8% in the Pf2++ group (P < 0.05). Adhesions were found in 6.3% of repeat operations after the JCl−− operation compared with 28.8% after the Pf2++ operation (P < 0.05), and there was a non‐significant trend toward fewer postoperative analgesics in the JCl−− group. Conclusion: The cesarean section procedure we have devised is not only safe, but has a lower risk of long‐ and short‐term complications.