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Evidence-based cesarean delivery: intraoperative management from skin incision until placental delivery (Part 8).
Am J Obstet Gynecol MFM
December 2024
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA (Berghella). Electronic address:
The goal of standardizing the technique of the routine, uncomplicated cesarean delivery (CD) is to decrease maternal morbidity while optimizing neonatal outcomes. During the procedure, a family-oriented CD is recommended. The low transverse cesarean skin incision (created with either scalpel or diathermy) is preferred with either the Joel-Cohen or Pfannenstiel methods being acceptable.
View Article and Find Full Text PDFComparison between extraperitoneal and transperitoneal cesarean section: Retrospective case-control study.
Z Geburtshilfe Neonatol
July 2024
University of Split, Medical School, Split, Croatia.
Introduction: The main advantage of extraperitoneal cesarean section (EXPCS) is not only less pain, faster recovery, and less potential for infection but also a possible lack of intraperitoneal adhesions.
Methods: In a 3-year period from 2019 to 2022, 88 EXPCSs were performed. A comparison was made with 90 patients who underwent a standard transperitoneal cesarean section (TPCS).
The French Ambulatory Cesarean Section: Safety and Recovery Characteristics.
J Obstet Gynaecol Can
August 2024
Department of Obstetrics and Gynecology, Nazareth Hospital EMMS, Nazareth, Israel; Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Objectives: The French AmbUlatory Extraperitoneal Cesarean Section (FAUCS) is aimed at improving patients' birth experience and recovery. However, data are scarce regarding its maternal and neonatal safety. This study seeks to compare maternal and neonatal outcomes between FAUCS and conventional cesarean deliveries at term.
View Article and Find Full Text PDFSurgical Treatment of a Large Post-cesarean Hematoma in the Retzius Space Accompanied by a Blood Coagulation Disorder: A Rare Case Report.
Cureus
December 2023
Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, GRC.
Hematoma in the Retzius space after a cesarean section is a rare complication. The Retzius space, also referred to as the prevesical or retropubic space, represents an extraperitoneal artificial cavity situated between the pubic symphysis and the bladder. In instances where conservative treatment involving vigilant monitoring along with analgesics and antibiotics or ultrasound-guided percutaneous puncture proves unsuccessful, re-operation becomes imperative.
View Article and Find Full Text PDFPercutaneous Fluoroscopy-guided Retrieval of a Fractured Pelvic Drain after Caesarean Section: A Case Report.
JNMA J Nepal Med Assoc
October 2023
Department of Interventional Radiology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom.
Unlabelled: Iatrogenic retention of surgical drains following drain entrapment and breakage is a never event and a preventable complication. The traditional approach for removing a fractured drain from the intra-peritoneal cavity involves exploratory laparotomy. However, over the last few decades, minimal access surgery has been a more popular retrieval method for retained surgical items from peritoneal and extraperitoneal cavities.
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