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Published in: Archives of Gynecology and Obstetrics 4/2011

01-04-2011 | Materno-fetal Medicine

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

Authors: Ali Gedikbasi, Alpaslan Akyol, Volkan Ulker, Dogukan Yildirim, Oguz Arslan, Erbil Karaman, Yavuz Ceylan

Published in: Archives of Gynecology and Obstetrics | Issue 4/2011

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Abstract

Aim

To compare the effectiveness of the Pfannenstiel–Kerr method (PKM) or modified Misgav-Ladach method (MMLM) in previous cesarean sections (C/Ss).

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.

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.

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.
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Metadata
Title
Cesarean techniques in cases with one previous cesarean delivery: comparison of modified Misgav-Ladach and Pfannenstiel–Kerr
Authors
Ali Gedikbasi
Alpaslan Akyol
Volkan Ulker
Dogukan Yildirim
Oguz Arslan
Erbil Karaman
Yavuz Ceylan
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 4/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1428-y

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