Z. Fatu?ic, A. Kurjak, E. Ja?arevic, T. Hafner
The Misgav Ladach method – a step forward in operative technique in obstetrics
Aim: To investigate the advantage of performing cesarean
section using the Misgav-Ladach method and to justify
its use in everyday practice.
Methods: In a prospective study we analyzed over a two
year period (2000–01) cesarean sections carried out using
the Misgav-Ladach method at our clinic. We compared
both 550 cases of Misgav-Ladach (ML) and
100 cases of Pfannenstiel (PH) cesarean section. In the
group that had undergone the Misgav-Ladach method
we sutured the uterus in one layer and left the peritoneum
non-sutured, and in the group who had undergone
Pfennenstiel we sutured the uterus in two layers
and also sutured the visceral and parietal peritoneum. In
every case we analyzed: maternal age, gestational age,
duration of operation, consumption of suture material,
duration of hospitalization, and surgical complications.
Results: Incidence of postoperative febrile morbidity
was 5.45%, in the Misgav-Ladach group compared with
13.2% in the Pfannenstiel group (p < 0.05). Local infection
of the wound in the Misgav-Ladach group was
found in 4.54% and in the Pfannenstiel group in 9%
(p < 0.05). Mean time of extraction of the newborn in the
Misgav-Ladach group was 1.25 minutes, and in the Pfannenstiel
group 4.10 minutes (P<0.05). Mean duration of
operation in the Misgav-Ladach group was 10.98 min,
and in the Pfannenstiel group 25 min (p < 0.05). Mean
duration of hospitalization in the Misgav-Ladach group
was 4.75 days, and in the Pfannenstiel group 6.32 days
(p > 0.05). Mean consumption of suture material in the
group Misgav-Ladach was 3.10 sutures per operation,
and in the Pfannenstiel group was 9.5 sutures.
Conclusion: Our study shows that the Misgav-Ladach
method of cesarean section enables fast recovery and
shorter hospitalization, and reduces the length of the operation,
the incidence of surgical complication and the
consumption of surgical materials.
Journal of Perinatal Medicine, Walter de Gruyter
Print ISSN: 1619-3997
Volume: 31, 10/2003
Pages: 395 - 398
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