Cesarean techniques in cases with one previous cesarean delivery: comparison of modified Misgav-Ladach and Pfannenstiel-Kerr.

Authors :: Gedikbasi A
Akyol A
Ulker V
Yildirim D
Arslan O
Karaman E
Ceylan Y
Source :: Archives of gynecology and obstetrics [Arch Gynecol Obstet] 2011 Apr; Vol. 283 (4), pp. 711-6. Date of Electronic Publication: 2010 Mar 24.
Publication Year :: 2011
Abstract: Aim: To compare the effectiveness of the Pfannenstiel-Kerr method (PKM) or modified Misgav-Ladach method (MMLM) in previous cesarean sections (C/Ss).<br />Methods: Hundred and fifteen gravidas were included with previous one C/S, using either a PKM or MMLM. Demographic characteristics, operative outcomes, surgical complications, and neonatal outcomes were compared in two groups.<br />Results: The mean operative time (18.0 ± 3.5 vs. 23.5 ± 5.7 min; p < 0.0001) and mean extraction time (90.1 ± 41.2 vs. 208.1 ± 79.1 s; p < 0.0001) were significantly shorter in the MMLM group than the PKM group. Postoperative recovery (mobilization, normalization of bowel function, need for analgesics, time to oral feeding, and intra-operative blood loss) was similar between the MMLM and PKM groups.<br />Conclusion: The MMLM appears to be a faster alternative to PKM for previous C/Ss, with similar results as in previous studies with primary CSs.

Subjects :: Adult
Female
Humans
Pregnancy
Reoperation methods
Treatment Outcome
Turkey epidemiology
Young Adult
Cesarean Section methods
Postoperative Complications epidemiology

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