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Cesarean section: One procedure, varied techniques. Detailed observations of 1013 first cesarean sections in a tertiary hospital in Ghana.
Int J Gynaecol Obstet
December 2024
Department of Obstetrics, Birth Center Wilhelmina Children Hospital, Division Woman and Baby, University Medical Center, Utrecht, The Netherlands.
Objective: Cesarean sections (CS) are among the most performed surgical procedures in the world. Small variations in surgical techniques could have a significant impact on a global scale, for example, in postoperative complications. In the present study we aimed to observe and audit every single step used during first time CS.
View Article and Find Full Text PDFEvidence-based surgical procedures to optimize caesarean outcomes: an overview of systematic reviews.
EClinicalMedicine
June 2024
UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Background: Caesarean section (CS) is the most performed major surgery worldwide. Surgical techniques used for CS vary widely and there is no internationally accepted standardization. We conducted an overview of systematic reviews (SR) of randomized controlled trials (RCT) to summarize the evidence on surgical techniques or procedures related to CS.
View Article and Find Full Text PDFDiagnosis and management of complications following pelvic organ prolapse surgery using a synthetic mesh: French national guidelines for clinical practice.
Eur J Obstet Gynecol Reprod Biol
March 2024
Université Paris-Cité, AP-HP, Hôpital Bichat, Service d'urologie, Paris F-75017, France.
Article Synopsis
- The French National Authority for Health reviewed literature on complications from pelvic organ prolapse (POP) surgery using synthetic mesh, which are rare but can severely impact women's quality of life, leading to multidisciplinary clinical practice recommendations with graded levels of evidence.
- Patients must be adequately informed about the risks of POP surgery, with specific guidelines suggesting against certain practices like vaginal packing and requiring alternative surgical techniques in complex cases.
- For bladder injuries during surgery, recommended practices include suturing and monitoring ureter permeability, with potential use of a prosthetic mesh post-repair for better outcomes.
Cesarean delivery surgical techniques in Africa: A survey study from Ethiopia.
PLoS One
November 2023
Department of obstetrics and Gynecology, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Article Synopsis
- The study aimed to describe the surgical techniques for Caesarean delivery used by Ethiopian Obstetricians and Gynecologists.
- A survey involved 258 professionals, with a 97.3% response rate, revealing common practices like double layer closure of the uterine incision (98.4%) and subcuticular skin closure (96.4%).
- Significant variations were found in certain techniques, such as the use of blunt vs. sharp fascia extension and types of uterine incision, indicating diverse practices among Ethiopian doctors.
Intra-operative Guidelines for the Prevention of Uterine Niche Formation in Cesarean Sections: A Review.
Cureus
September 2023
Obstetrics and Gynaecology, Sahlgrenska University Hospital, Gothenburg, SWE.
Formation of a uterine niche following a C-section can predispose the patient to future obstetric complications such as dehiscence, uterine rupture, ectopic pregnancy, and placenta accreta. The significant morbidity and mortality of these complications along with increasing C-section rates emphasizes the importance of prevention. However, there are no clear guidelines on intra-operative protocol to prevent postpartum niche formation.
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