Modified extraperitoneal Caesarean section: clinical experience
| Autor: | Kunal Rathod, Anita Pawar, Ganesh Shinde, Balaji Jadhav |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Fever medicine.medical_treatment India Observation Group B Young Adult Postoperative Complications Pregnancy medicine Humans Caesarean section Prospective Studies Intraoperative Complications Skin incision Cesarean Section business.industry Public Health Environmental and Occupational Health Surgery Infectious Diseases Extraperitoneal caesarean section Sample size determination Anesthesia Female Observational study Apgar score Gastrointestinal function business |
| Zdroj: | Tropical Doctor. 42:188-190 |
| ISSN: | 1758-1133 0049-4755 |
| DOI: | 10.1258/td.2012.120241 |
| Popis: | Summary The objective of the study was to study postoperative progress of modified extraperitoneal Caesarean section (MECS) technique (group A) and its comparison with standard transperitoneal Caesarean section (TCS) (group B). It is a prospective observational study with sample sizes of 93 and 105 for groups A and B, respectively, in the settings of Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India, which see over 10,000 deliveries per annum. Five parameters were studied. Postoperative febrile morbidity was significantly lower in group A than in group B (6.5% versus 21%; P = 0.004). Gastrointestinal function recovery occurred earlier in group A than B (6 h versus 18.5 h; P < 0.01). Although the difference between skin incision to baby delivery time was significant (6.0 min versus 3.1 min; P < 0.01), there was no significant difference in Apgar score at 1 min ( P = 0.3). There was no difference in intraoperative complications in two groups. MECS is associated with less febrile morbidity and early postoperative recovery than TCS. |
| Databáze: | OpenAIRE |
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