The Misgav Ladach method for cesarean section compared to the Pfannenstiel method

Abstract

The Misgav Ladach method of CS has advantages over the Pfannenstiel method by being significantly quicker to perform, with a reduced amount of bleeding and diminished postoperative pain. The women were satisfied with the appearance of their scars. In this study no negative effects of the new operation technique were discovered.

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].…”

A study of morbidity pattern in Misgav Ladach technique of caesearean section

“…The amount of blood loss differed significantly with 448ml and 608 ml in the two groups' respectively. 8 There were no statistically significant differences in the postop morbidity between the two groups in our study. In a study by Hudic I show that the febrile morbidity is less in Misgav Ladach group than compared to traditional method.…”

Technical aspects of the cesarean section

“…In 1999, Wallin presented also a modified Joel-Cohen technique for cesarean delivery (incision 3 cm above the symphysis pubis, closure of uterine incision with a single layer and no peritoneal closure). This method has been proven to be much faster, then the Pfannenstiel technique especially in delivering the fetus [25, 34,47], but this is not clinically relevant because of equal neonatal outcome [15,19]. However, considering the less cosmetic appearance of the JC abdominal wound, it should be limited only to the emergency cesarean section.…”

“…The JC incision, on the contrary, is straight, 3 cm below the line that joins the anterior superior iliac spines and therefore more cranial than the Pfannenstiel incision. A modified JC incision which is named the Stark cesarean section has proved to have advantages compared with the traditional Pfannenstiel incision because of a shorter surgical time, fewer sutures, lower febrile morbidity, and fewer postoperative hematomas above and under the fascia [5,15,34]. In 1999, Wallin presented also a modified Joel-Cohen technique for cesarean delivery (incision 3 cm above the symphysis pubis, closure of uterine incision with a single layer and no peritoneal closure).…”

“…To avoid bleeding from the incision edges, a continuous closure incorporating all the muscle without including the endometrium is preferred. It is faster, and no increased risk of uterine rupture, hemorrhage, and infection was found [15]. Diverse studies have analyzed single-versus double-layer closure.…”