Clinical study of Misgav Ladach technique of caesarean section

Abstract

INTRODUCTIONCaesarean section is the commonest major surgical procedure in modern days and situations often demand its performance in the quickest possible operative time for fetal or maternal emergencies without compromising the surgical excellence. In today's world there is a continuous search for better and more satisfactory techniques for caesarean section. This is one of the changing trend in caesarean section, thus an attempt was made to evaluate this technique of LSCS in detail regards to technique and patient's benefit. METHODSIt was prospective surgical interventional study carried out on 200 patients who underwent caesarean section at Government medical college Aurangabad after taking permission from institutional ethical committee.200 cases were randomly selected whose complete blood count, blood grouping was known preoperatively. After taking a through history and complete general and ABSTRACT Background: In the last decades caesarean section rates increased in many countries becoming the most performed intraperitoneal surgical procedure. The operative technique performed is made chiefly on the basis of the individual experience and preference of operators, the characteristics of patients, timing and urgency of intervention. Present study was undertaken to assess the benefits of the Misgav Ladach caesarean section technique in tertiary care hospital and evaluate the operative parameters like efficacy, safety, duration of surgery, blood loss, need for suture material, post-operative morbidity. Methods: Prospective surgical interventional study conducted in department of obstetrics and gynecology in tertiary care institute. Results: The duration of surgery, blood loss and post-operative complications were significantly less in the Misgav Ladach technique of LSCS. Conclusions:The choice of the Caesarean section technique is strictly linked to the individual experience and confidence of the surgical team. Misgav-Ladach technique proved to be associated to less complications, moreover, since its shorter operating time; it is to prefer in all that cases a prompt operation is required.