An Original Suprapannicular Incision Technique for Cesarean Delivery in the Morbidly Obese Parturient
| Autor: | Katherine Williamson, Nisha Lakhi, Michael Moretti |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Lower uterine segment Pfannenstiel incision Morbidly obese Panniculus 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy medicine Humans 030212 general & internal medicine Cesarean delivery Young adult 030219 obstetrics & reproductive medicine business.industry Cesarean Section Obstetrics and Gynecology medicine.disease Surgery Obesity Morbid Pregnancy Complications Increased risk Female business |
| Zdroj: | Obstetrics and gynecology. 132(3) |
| ISSN: | 1873-233X |
| Popis: | Obese patients are at an increased risk of cesarean delivery and its associated wound complications. We present an alternative incision technique for obese parturients that avoids making a Pfannenstiel incision under the panniculus while still providing access to the lower uterine segment.For our technique, an assistant uses Allis clamps to exert caudal traction on the patient's panniculus and a transverse skin incision is made under the umbilicus, 3 cm below the line joining the anterosuperior iliac crests. On entry to the abdominal cavity, a wound retractor is placed to optimize access to the lower uterine segment so that a low transverse uterine incision can be made.We have used this incision technique on 17 obese patients with no incidence of intraoperative complications, no requirement to perform a vertical hysterotomy incision, and no postoperative wound infections.Our technique is a feasible alternative incision for obese parturients that avoids making a subpannicular Pfannenstiel incision and still allows for good access to the lower uterine segment. |
| Databáze: | OpenAIRE |
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