Modified extraperitoneal Caesarean section: clinical experience

Shinde, Ganesh; Pawar, Anita; Jadhav, Balaji; Rathod, Kunal

doi:10.1258/td.2012.120241

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…The patients were administered spinal or general anesthesia according to their requirements. EPC was performed as described by Shinde et al [10]. Following pfannenstiel incision, the rectus sheath was incised transversally and rectus muscles and transversalis fascia were separated.…”

Section: Methodsmentioning

confidence: 99%

Comparison of extra-peritoneal and intra-peritoneal cesarean technique: a prospective randomised trial

Şentürk¹,

Kılıççı²,

Doğan³

et al. 2018

Clin. Exp. Obstet. Gynecol.

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Objective: Comparison of extra-peritoneal cesarean (EPC) and intra-peritoneal cesarean (IPC) section in terms of postoperative pain, pulmonary function, fever, gastrointestinal function, and other maternal and fetal morbidities. Materials and Methods: Fifty patients were included in this prospective study. All patients' demographic data such as blood count, gestational week, height, weight, body mass index, and age were recorded in the preoperative period. Forced vital capacity, forced expiratory volume at second 1, and peak expiratory flow values were measured before and 24 hours after the operation. Pain was evaluated using visual analog scale (VAS). Time from the beginning of the operation to the delivery, total operation time, birth weight, and Apgar scores were also recorded. Changes in pulmonary function tests, VAS, time to hear bowel sounds, gas and stool discharge times, leukocyte increase rate, fever, and C-reactive protein values were compared between the groups. Results: Lower abdominal and incision pain were less in the EPC group (p < 0.05). Inflammatory response was lower and bowel sound were heard earlier in the EPC group (p < 0.05). Conclusion: EPC section seems to be advantageous in terms of postoperative pain, pulmonary function, intestinal function, and febrile morbidity. Further studies with larger populations are needed in order to recommend this technique routinely.

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Section: Methodsmentioning

confidence: 99%

Comparison of extra-peritoneal and intra-peritoneal cesarean technique: a prospective randomised trial

Şentürk¹,

Kılıççı²,

Doğan³

et al. 2018

Clin. Exp. Obstet. Gynecol.

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“…There are many procedural differences, from the opening to the closure of the skin incision. [13][14][15][16] We investigated the effect of the closure types of the anterior abdominal wall layers on early postoperative findings of bowel motility in this study. Postoperative pain scores at 6 and 12 hours were significantly higher in 28 (20-42) b 0.030 group 2 than in group 3 during mobilization.…”

Section: Discussionmentioning

confidence: 99%

Effect of Closure of Anterior Abdominal Wall Layers on Early Postoperative Findings at Cesarean Section: A Prospective Cross-sectional Study

Çintesun

Kebapçılar

Uçar

et al. 2021

Rev Bras Ginecol Obstet

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Objective To investigate the effect of closure types of the anterior abdominal wall layers in cesarean section (CS) surgery on early postoperative findings. Methods The present study was designed as a prospective cross-sectional study and was conducted at a university hospital between October 2018 and February 2019. A total of 180 patients who underwent CS for various reasons were enrolled in the study. Each patient was randomly assigned to one of three groups: Both parietal peritoneum and rectus abdominis muscle left open (group 1), parietal peritoneum closure only (group 2), and closure of the parietal peritoneum and reapproximation of rectus muscle (group 3). All patients were compared in terms of postoperative pain scores (while lying down and during mobilization), analgesia requirement, and return of bowel motility. Results The postoperative pain scores were similar at the 2nd, 6th, 12th, and 18th hours while lying down. During mobilization, the postoperative pain scores at 6 and 12 hours were significantly higher in group 2 than in group 3. Diclofenac use was significantly higher in patients in group 1 than in those in group 2. Meperidine requirements were similar among the groups. There was no difference between the groups' first flatus and stool passage times. Conclusion In the group with only parietal peritoneum closure, the pain scores at the 6th and 12th hours were higher. Rectus abdominis muscle reapproximations were found not to increase the pain score. The closure of the anterior abdominal wall had no effect on the return of bowel motility.

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La technique de la césarienne : recommandations pour la pratique clinique du Collège national des gynécologues obstétriciens français

Sentilhes¹,

Schmitz²,

Madar³

et al. 2023

Gynécologie Obstétrique Fertilité & Sénologie

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Modified extraperitoneal Caesarean section: clinical experience

Cited by 4 publications

References 11 publications

Comparison of extra-peritoneal and intra-peritoneal cesarean technique: a prospective randomised trial

Comparison of extra-peritoneal and intra-peritoneal cesarean technique: a prospective randomised trial

Effect of Closure of Anterior Abdominal Wall Layers on Early Postoperative Findings at Cesarean Section: A Prospective Cross-sectional Study

La technique de la césarienne : recommandations pour la pratique clinique du Collège national des gynécologues obstétriciens français

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