2015
DOI: 10.17772/gp/57840
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Two techniques of pyramidalis muscle dissection in Pfannenstiel incision for cesarean section

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Cited by 9 publications
(7 citation statements)
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“…A total of 145 studies were included, of which 126 were randomised controlled trials and 19 were systematic reviews and meta‐analyses (Fig. 1) [9–153]. The methodological quality assessments of the 126 randomised controlled trials included in the final qualitative analysis are summarised in online Supporting Information Table S1.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…A total of 145 studies were included, of which 126 were randomised controlled trials and 19 were systematic reviews and meta‐analyses (Fig. 1) [9–153]. The methodological quality assessments of the 126 randomised controlled trials included in the final qualitative analysis are summarised in online Supporting Information Table S1.…”
Section: Resultsmentioning
confidence: 99%
“…A comparison between two techniques of pyramidalis muscle dissection found no differences in postoperative pain [145]. Reduced pain scores when the peritoneum was not closed were reported [146].…”
Section: Surgical Interventionsmentioning
confidence: 99%
“…Hence, despite the aforementioned extensive description, the pyramidalis muscle’s function is still unclear. Because of that, some authors consider it a vestigial muscle, leftover from the marsupials’ and monotremes’ pouch ( 10 ), evolving into an irregular apparition in more evolved primates, often observed in chimpanzees and gorillas but absent in orangutans ( 11 ). There are also anthropological studies suggesting that the pyramidalis has evolved as part of the normal human anatomy, in which case it could be related to the species’ erect posture.…”
Section: Introductionmentioning
confidence: 99%
“…Although its function is not well known, the pyramidalis muscle can be useful in some surgical procedures since its superior insertion may serve as reference for abdominal incisions, for example, Pfannenstiel ( 10 ). Furthermore, given that, as mentioned earlier, its absence does not seem to cause notable dysfunction ( 2 ), it can be used for grafts.…”
Section: Introductionmentioning
confidence: 99%
“…10 Phylogenetically, the PM is linked to the pouch inside monotremes such as hedgehogs and platypus and marsupials such as koalas and kangaroos. Therefore, some authors consider the PM a vestigial muscle, leftover from the marsupial and monotreme pouches, 18 evolving into an irregular apparition in more evolved primates, often observed in chimpanzees and gorillas, but absent in orangutans, 19 thus tending to disappear in the future. However, anthropological studies suggest that the PM could be related to an erect posture in humans, 20,21 thus increasing the prevalence of PM.…”
Section: Discussionmentioning
confidence: 99%