Abdominal surgical incisions for caesarean section

Mathai, Matthews; Hofmeyr, G Justus; Mathai, Namratha E

doi:10.1002/14651858.cd004453.pub3

Cited by 69 publications

(65 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The PRISMA flow diagram is shown in addendum 3 (Key Question B). Six systematic reviews have compared midline laparotomies to alternative incisions [26,27,31,36,38,61], but only two were considered High Quality [26,27]. A recent systematic review by Bickenback et al [26] compared midline, transverse (including oblique) and paramedian incisions.…”

Section: Resultsmentioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

505

406

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

505

406

View full text Add to dashboard Cite

show abstract

“…The technique offers a variety of advantages, including a more aesthetic cosmetic appearance, less postoperative pain, rapid recovery, and lower incisional hernia rates (2). There have been various studies evaluating complication rates, bleeding levels, operative times, and adhesion formation related to Pfannenstiel incisions (3). Maternal morbidity and complication rates are even more pronounced in repeat cesarean deliveries, especially after a third operation (4).…”

Section: Introductionmentioning

confidence: 99%

Impact of body mass index, waist circumference and Pfannenstiel sitetissue thickness, and elastosonography on operative parameters

Gültekin¹,

Gültekin²,

Yılmaz³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

Background/aim: This study aimed to evaluate the impact of body fat distribution measured by body mass index (BMI), waist circumference (WC) and Pfannenstiel incision site tissue thickness, and elastosonography on bleeding and operation time during cesarean delivery. Materials and methods:A prospective study was made of 52 healthy, term pregnant women with prior cesarean deliveries. The impact of BMI, WC, incision site thickness, and elastosonography on preoperative and postoperative differences in hemoglobin (Hb) and hematocrit (Htc) levels and operation times was evaluated.Results: A moderate negative relationship was found between Htc levels and WC. Htc levels were found to decrease by 0.148 units for each 1-cm increase in WC. Skin-to-fascia time was found to increase by 0.697 s with each 1-unit increase in BMI, whereas fascia-touterus time was found to increase by 1.117 s with each 1-cm increase in Pfannenstiel site tissue thickness. None of the elastosonographies or differences in Hb levels were found to be significant for any parameter. Conclusion:Each of the evaluated parameters was found to have an impact on different factors: WC on Htc levels, BMI on skin-tofascia time, and Pfannenstiel tissue thickness on fascia-to-uterus time.

show abstract

“…Traditionally, SC begins through a Pfannenstiel incision, but in a 2013 review Joel-Cohen incision was found to be superior to Pfannenstiel incision in terms of postoperative outcomes [12]. Performing a bladder flap was found to be associated with greater (1 g/dl vs 0.5 g/dl) change in Hb levels compared with direct incision 1 cm above the bladder fold [13].…”

Section: Discussionmentioning

confidence: 99%