Can Joel-Cohen incision and single layer reconstruction reduce cesarean section morbidity?
Int J Gynaecol Obstet
; 72(2): 135-43, 2001 Feb.
Article
em En
| MEDLINE
| ID: mdl-11166746
ABSTRACT
OBJECTIVE:
To compare an innovative cesarean section based on Joel-Cohen incision with the traditional Pfannenstiel technique in terms of operative data and post-operative recovery.METHOD:
Out of 158 randomized patients, 83 patients underwent the innovative cesarean section (Joel-Cohen incision, one-layer locked uterine suture, no peritoneization) and 75 the traditional operative approach (Pfannenstiel incision, double layer closure of the uterus, visceral and parietal peritoneization). Operative data and post-operative morbidity were compared; sample size was calculated to detect a 13% difference in the occurrence of post-operative fever with a statistical power of 80%.RESULT:
Post-operative fever was not different in the two groups. Total operating time was shorter with the innovative technique 31.6 +/-1.38 min vs. 44.4+/-1.44 (P=0.0001) and fewer sutures were used 3.6+/-0.13 vs. 6+/-0.13 (P=0.001). Patients operated by the new technique began moving sooner and intestinal function restarted earlier.CONCLUSION:
The proposed technique made for shorter operating times and faster recovery but no decrease in puerperal morbidity.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Peritônio
/
Infecção da Ferida Cirúrgica
/
Cesárea
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Int J Gynaecol Obstet
Ano de publicação:
2001
Tipo de documento:
Article