2002, Number 1
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An Med Asoc Med Hosp ABC 2002; 47 (1)
Cesarean section simplified technique. A comparative clinical study vis-a-vis conventional technique
Oviedo OJG, Ibarrola BAE, Reyes CH, Alfaro AJ, García LF
Language: Spanish
References: 15
Page: 24-28
PDF size: 58.92 Kb.
ABSTRACT
The cesarean section operation is the most frequently performed surgery in obstetrics and has not had any significant change in its technique during the last one hundred years.
Design: A comparative clinical study was done between a simplified technique and the conventional one. The study was an observational retrospective one, considering a group of patients from a specific OB-GYN practice group, including 150 patients for each technique.
Results: Using simplified technique: surgical time was shorter (20-30 minutes); using conventional technique: surgical time was longer (50-60 minutes); the analgesic use postoperatively was diminished in the simplified technique group; oral intake was initiated earlier in the simplified technique group (6-8 hours-op vs 10-12 hours post-op); ambulation started earlier in the simplified technique group (6-8 hours post-op vs 10-12 hours post-op). In reoperated patients, who have had simplified technique in a previous procedure, no urinary bladder elevation to the uterine corpus was observed. No adhesions were seen as well. No infections were registered post operatively in either group.
Conclusion: The cesarean section simplified technique is a safe procedure, fast and easy to perform, that decreases the postoperative pain and decreases the appearance of postoperative paralytic ileum.
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