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Technical aspects of the Cesarean Section
Wissenschaftlicher Artikel/Review - 05.05.2010
Bolla Daniele, Schoening Andrea, Drack Gero, Hornung René
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The aim of this study was to evaluate every part of the surgical procedure during cesarean section (CS) to prevent complications and improve the clinical outcome. We researched on PubMed, Medline, and Cochrane. The evidence-based research suggests a transverse incision of the skin, blunt dissection of the subcutaneous tissue, omission of the bladder flap, blunt extension of the hysterotomy, prophylactic antibiotics, spontaneous placental removal, leaving the peritoneum open, and suture closure of the subcutaneous tissue when thickness is ≥2 cm. We hope that all evidence-based description will help to perform the CS safer, and for all surgical procedures not yet studied, further research is needed.
Keywords Cesarean section - Pfannenstiel incision - Joel-Cohen incision - Uterine incision