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Titolo:
Techniques for performing caesarean section
Autore:
Hema, KR; Johanson, R;
Indirizzi:
N Staffordshire Hosp NHS Trust, Clin Governance Support Off, Matern Unit, Stoke On Trent ST4 6QG, Staffs, England N Staffordshire Hosp NHS Trust Stoke On Trent Staffs England ST4 6QG land
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY
fascicolo: 1, volume: 15, anno: 2001,
pagine: 17 - 47
SICI:
1521-6934(200102)15:1<17:TFPCS>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSVERSE UTERINE INCISION; SUPERFICIAL WOUND DISRUPTION; RANDOMIZED CONTROLLED TRIAL; SEGMENT CESAREAN-SECTION; MISGAV-LADACH METHOD; NON-CLOSURE; BLOOD-LOSS; GASTROINTESTINAL-TRACT; ABDOMINAL INCISIONS; MATERNAL MORBIDITY;
Keywords:
caesarean section; methods; materials; complications; research;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
129
Recensione:
Indirizzi per estratti:
Indirizzo: Hema, KR N Staffordshire Hosp NHS Trust, Clin Governance Support Off, Matern Unit, Ward 58,Newcastle Rd, Stoke On Trent ST4 6QG, Staffs, England N Staffordshire Hosp NHS Trust Ward 58,Newcastle Rd Stoke On Trent Staffs England ST4 6QG
Citazione:
K.R. Hema e R. Johanson, "Techniques for performing caesarean section", BEST P R CL, 15(1), 2001, pp. 17-47

Abstract

In many countries caesarean section has become the mode of delivery in over a quarter of all births. Safety of the mother and cost are the two main areas of concern. Various studies on the techniques of performing a caesarean section have focused on reducing the operating time, blood loss, wound infection and cost. Given the fact that caesarean section is the most commonly performed operation in obstetrics, it is important that trainers and trainees are familiar with the basic surgical techniques and that best practiceis followed. At the same time surgeons should take necessary precautions to reduce their risk of exposure to Hepatitis B and HIV. The skin incision and entry into abdominal cavity is best achieved by the modified Cohen's incision. The lower segment transverse uterine incision has stood the test of time over a period of 75 years and remains the best wayto enter the uterus. Closure of the uterus in single layer appears to be acceptable, whenever technically possible. placental delivery should be by controlled cord traction after spontaneous expulsion. Closure of the visceral and parietal layers of the peritoneum no longer seems to be necessary. Obliteration of space in the subcutaneous layer, either by suture or by suction, seems to reduce wound disruption, These issues are being considered in the CAESAR randomized controlled trial of surgical techniques currently underway in England. Prophylactic antibiotics are mandatory in preventing post-operative morbidity. Many of the above mentioned steps have been tested in randomized trials. Further studies are needed to examine a wide range of questions arising from this review, e.g. best position of the patient, the value of exteriorization of the uterus whilst repairing the uterus, and the use of agents to relax the uterus in difficult deliveries.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 06:29:53