Prognosis of Misgav-Ladach Caesarean Sections in an African Environment: Case of the Banfora Regional Hospital in Burkina Faso about 110 Cases

Abstract

Objective: To analyze the caesarean section prognosis aspects according to Misgav-Ladach versus classical technique in the regional hospital of Banfora. Materials and Methods: This is about a randomized clinical test of 2 groups carried in the regional hospital in Banfora on a two-month period from 1st October to 30 November 2015. In the first group, 66 patients had benefited from a caesarean section by the Misgav-Ladach technique. In the control group, 44 patients had benefited from a caesarean in the conventional technique. Were included in our sample all patients having benefited from a cesarean in the study site during the study period and who had consented to participate in the study. All patients were followed until the postpartum healing of the surgical wound. All prognostic elements have been compared. The results were analyzed with Epi Info 3.5.1 software and the significance level was set at 5%. Results: The indications for cesarean section were dominated by maternal causes in 70 cases (63.6%). The average duration of the surgical procedure was 27.98 mm for Misgav-Ladach technique versus 28.27 mm for the conventional technique (p = 0.49). The evaluation of blood loss by the change in hemoglobin pre-and post-operative did not find statistically significant differences between the two techniques (p = 0.6). The evaluation of the number of intraoperative suture used, was in favor of the technique of Misgav-Ladach (p = 0.007). The evolutionary trend in the intensity of postopera-

Evaluation of postoperative outcome of different techniques of lower segment caesarean section

“…Nankali A et al and Adama O et al also observed that use of antibiotics was significantly lower in ML group. 18,19 Since blunt opening of abdomen and uterus, single layer uterine closure and non-closure of the peritoneum during caesarean section reduces the duration of the procedure, this might benefit in terms of reduced risk of infections, fever and postoperative complications. 13 Less operative time reduced the duration of exposure to anaesthesia, and hence may reduce the incidence of nausea and vomiting.…”

Toward Universal Unified Cesarean Section Method in Africa

“…The conclusion of a comparative study in Burkina Faso was that this CS is a reliable technique, fast and simple which eliminates unnecessary time of surgery and limits the risk of complications. It is an alternative in the practice of emergency Caesareans in under-medicalized and low-income countries, and dissemination at national level was recommended [30].…”