Comparative study of Misgav-Ladach and Pfannenstiel-Kerr cesarean techniques: a randomized controlled trial

Abstract

The operation-related morbidity of the MLM and PKM for primary C/S seem to be comparable; however, the MLM seems to be superior in terms of operation time and the amount of suture usage but inferior in pain scores in the early postoperative period.

Modified Misgav Ladach Method versus Pfannenstiel Kerr Method in Women with Previous Cesarean Section: a Randomized Controlled Trial

“…Also, the reduction in operative time was authenticated to be associated with economic advantages due to less suture costs, less anesthesia needs, and a shorter hospitalization [18,19]. Our data were consistent with previous reports regarding the reduction in the number of used sutures with the MLM and MMLM (p ˂ 0.001) [6,15]. MLM and MMLM were reported to decrease blood loss in cesarean section in comparison to the conventional Pfannenstiel incision [18,19].…”

“…There was no difference between the two groups as regard fever and wound complications in terms of wound seroma and infection (p ˃ 0.05). These results are comparable to the results by others [1,6,15].…”

“…MLM and MMLM were reported to decrease blood loss in cesarean section in comparison to the conventional Pfannenstiel incision [18,19]. Indeed, the difference between pre-and postoperative hemoglobin levels has been recorded to be similar in women undergoing either MLM and its modification or PKM in the current and other studies [6,15].…”

“…In the study by Naki, et al which compared the Misgav Ladach Method (MLM) and PKM and the study by Gedikbasi, et al which compared the MMLM and PKM, the myometrial incision was closed in single layer in both groups (MLM and MMLM and the total operative time was significantly shorter in the MLM and MMLM than in the PKM [6,15]. MLM being a faster method of cesarean section is associated with benefits of the method in the case of emergency caesarean section compared to elective surgery [16].…”

Does size matter?

“…To the Editor, In 1995, I described a modified Cesarean Section (CS), the so-called "Misgav Ladach" method (1) which gained international usage, including both in Turkey (2) and in Germany (3). There are scores of publications from many countries, all showing without exception a notably shorter operative time, and fewer complications of wound healing and reduced hospital stay.…”