medigraphic.com
SPANISH

Anales Médicos de la Asociación Médica del Centro Médico ABC

ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2002, Number 1

<< Back Next >>

An Med Asoc Med Hosp ABC 2002; 47 (1)

Cesarean section simplified technique. A comparative clinical study vis-a-vis conventional technique

Oviedo OJG, Ibarrola BAE, Reyes CH, Alfaro AJ, García LF
Full text How to cite this article

Language: Spanish
References: 15
Page: 24-28
PDF size: 58.92 Kb.


Key words:

, Cesarean section simplified, surgical technique, Pelosi.

ABSTRACT

The cesarean section operation is the most frequently performed surgery in obstetrics and has not had any significant change in its technique during the last one hundred years. Design: A comparative clinical study was done between a simplified technique and the conventional one. The study was an observational retrospective one, considering a group of patients from a specific OB-GYN practice group, including 150 patients for each technique. Results: Using simplified technique: surgical time was shorter (20-30 minutes); using conventional technique: surgical time was longer (50-60 minutes); the analgesic use postoperatively was diminished in the simplified technique group; oral intake was initiated earlier in the simplified technique group (6-8 hours-op vs 10-12 hours post-op); ambulation started earlier in the simplified technique group (6-8 hours post-op vs 10-12 hours post-op). In reoperated patients, who have had simplified technique in a previous procedure, no urinary bladder elevation to the uterine corpus was observed. No adhesions were seen as well. No infections were registered post operatively in either group. Conclusion: The cesarean section simplified technique is a safe procedure, fast and easy to perform, that decreases the postoperative pain and decreases the appearance of postoperative paralytic ileum.


REFERENCES

  1. Pfannenstiel J. On the advantages of a transverse cut of the fascia above the symphysis for gynecological laparotomies, and advice on surgical methods and indications. Samml Klin Vortr Gynäkol (neue Folge) 1897: 68-74.

  2. Joel-Cohen S. Abdominal and vaginal hysterectomy. New techniques based on time and motion studies. London: Heinemann, 1972: 170.

  3. Pelosi Marco A. Simplified cesarean section. Contemporary OB/GYN, December 1995: 89-100.

  4. Stark M. Evaluation of combinations of procedures in cesarean section. Internal J Gyn Obst 1995: 273-276.

  5. Stark M, Finkel AR. Comparison between the Joel-Cohen and Pfannenstiel incisions in cesarean section. Eur J Obstet Gynecol Reprod Biol 1994; 53: 121-122.

  6. Hauth JC, Owen J, Davis RO. Transverse uterine incision closure: one versus two layers. Am J Obstet Gynecol. 1992; 167(4): Part 1, 1108-1101.

  7. Jelsema RD, Wittingen JA, Kenneth J, Vander Kolk. Continuous, nonlocking, single-layer repair of the low transverse uterine incision. J Reprod Med 1993: 393-396.

  8. Hull DB, Varner MW. A randomized study of closure of the peritoneum at cesarean delivery. Obstet Gynecol 1991: 77-79.

  9. Marcello Pietrantoni and cols. Peritoneal closure or non closure at cesarean. Obstet Gynecol 1991; 77.

  10. Ellis H, Heddle R. Does the peritoneum need to be closed at laparotomy? Br J Surg 1977; 64: 733-737.

  11. Robbins GF, Brunchwig A, Foote FW. Deperitonealization: Clinical and experimental observations. Ann Surg 1949; 130: 466-472.

  12. Elkins TE, Stovall TG, Warren J, Ling FW, Meyer NL. A histologic evaluation of peritoneal injury and repair: Implications for adhesions formation. Obstet Gynecol 1987; 70: 225-228.

  13. Calleja CVJ y col. Cesárea. Histerorrafia en un plano. Ginec Obst Mex 1994; 62: 304.

  14. Tulandi T, Hum HS, Gelfand MM. Closure of laparotomy incisions with or without suturing and second-look laparoscopy. Am Obst Gynecol 1998; 158: 536-537.

  15. Shelley J, Chapman, John Owen, & John C. Hauth. One- versus two- Layer closure of a low transverse cesarean: the next pregnancy. Obstet Gynecol 1997: 16-18.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

An Med Asoc Med Hosp ABC. 2002;47