Transverse lower segment uterine incision in cesarean sections for transverse lie

1994 ◽  
Vol 255 (4) ◽  
pp. 171-172 ◽  
Author(s):  
S. Segal ◽  
O. Gemer ◽  
E. Sassoon
Keyword(s):  
Cesarean Sections ◽  
Lower Segment ◽  
Uterine Incision ◽  
Lower Segment Uterine ◽  
Transverse Lie

Unintended Extension of the Lower Segment Uterine Incision at Cesarean Delivery: A Randomized Comparison of Sharp versus Blunt Techniques

2013 ◽  
Vol 31 (10) ◽  
pp. 837-844
Author(s):  
Kemal Gungorduk ◽  
Berhan Asıcıoglu ◽  
Gokhan Yıldırım ◽  
Ozgu Gungorduk ◽  
Cemal ARK ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Lower Segment ◽  
Uterine Incision ◽  
Lower Segment Uterine

scholarly journals Fetomaternal outcome in caesarean section at full dilatation

2019 ◽  
Vol 8 (8) ◽  
pp. 3098
Author(s):  
Kavita Gupta ◽  
Apurva Garg
Keyword(s):  
Intraoperative Complications ◽  
Birth Asphyxia ◽  
Febrile Illness ◽  
Neonatal Morbidity ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Bladder Injury ◽  
Cesarean Sections ◽  
Cross Sectional ◽  
Uterine Incision

Background: To study indications, intraoperative and postoperative complications and fetomaternal outcome in cesarean sections done at full dilatation.Methods: This is a prospective cross-sectional study which was conducted in the department of obstetrics and gynecology, RNT medical college, Udaipur from November 2018 to April 2019. 100 cases of caesarean sections at full dilatation which were performed during this period were analyzed for indications and maternal and fetal morbidity.Results: Among these 100 cesarean sections, majority of cases were in the age group of 21-30 years (46%), booked and  Primigravida(81%).Most common indications were cephalo-pelvic disproportion (27%) and fetal distress (21%). Most commonly baby was delivered either by vertex (44%) or by Patwardhan (31%). Intraoperative complications were higher in terms of hematuria in 41%, Atonic PPH in 35%, uterine incision extension in 28% of cases. In one case bladder injury was noticed. Increased incidence of post-operative febrile illness and wound infection were noted. 44% baby’s required nursery admission, most commonly due to birth asphyxia (16%) and RDS (11%).Conclusions: Cesarean section in the 2nd stage of labor is associated with significantly increased maternal morbidity, Neonatal morbidity and mortality. So proper monitoring during labor and involvement of skilled obstetrician in decision making and delivery is crucial to minimize fetomaternal complications.

Ectopic Pregnancy in Lower Segment Uterine Scar

1999 ◽  
Vol 39 (1) ◽  
pp. 114-116 ◽  
Author(s):  
H. Roberts ◽  
C. Kohlenber ◽  
V. Lanzarone ◽  
H. Murray
Keyword(s):  
Ectopic Pregnancy ◽  
Lower Segment ◽  
Uterine Scar ◽  
Lower Segment Uterine

Repeated caesarean section

1926 ◽  
Vol 22 (11) ◽  
pp. 1296-1297
Author(s):  
V. Gruzdev
Keyword(s):  
Caesarean Section ◽  
Lower Segment ◽  
The Third ◽  
Uterine Incision ◽  
Uterine Body

Caesarean section in the same woman can be repeated three times, the first two times the uterine incision should be made intraperitoneally in the lower segment, and the third time in the uterine body.

scholarly journals “En Caul” Cesarean Delivery for Extremely Premature Fetuses: Surgical Technique and Anesthetic Options

2020 ◽  
Vol 06 (S 02) ◽  
pp. S104-S109
Author(s):  
Takeshi Murakoshi
Keyword(s):  
Surgical Technique ◽  
Premature Infant ◽  
Cesarean Delivery ◽  
Uterine Wall ◽  
Lower Segment ◽  
Uterine Incision ◽  
Uterine Muscle ◽  
Vertical Incision ◽  
Extremely Premature Infant ◽  
Uterine Relaxation

AbstractThe risks and technical difficulties at the cesarean delivery for extremely premature infant under 1,000g are as follows: (1) a premature infant is very weak for pressure of uterine wall or human hands, (2) skin of infant is really premature and weak, (3) uterine wall is thick and difficult to incise at lower segment of uterus, (4) classical vertical incision or reverse T-shape incision are at risk for future uterine rupture, and (5) at the timing of rupture of membrane, uterine wall may contract drastically and the infant is trapped the uterine wall, so called “hug-me-tight-uterus”.To resolve the problems, we use the technique of “En Caul” cesarean delivery with nitroglycerin. Intravenous injection of nitroglycerin just before uterine incision made the rapid and sufficient relaxation of uterine muscle. After getting adequate uterine relaxation, U- or J-shaped incision is made to lower segment of the uterus; however, we never incise the membrane before the infant was delivered. The baby is delivered with wrapped amniotic fluid and the membrane, which protect the infant against the pressure of uterine wall or surgeon’s hands. The infant is gently handled to neonatologist by “En Caul” with the placenta. Neonatologist can make the membrane ruptured and resuscitation. Own blood transfusion can be made through the umbilical cord and placenta, if the infant was anemic or hypovolemic.

scholarly journals Challenges in the Caesarean Section of a Severely Kyphotic Parturient

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Manisha Chhetry ◽  
Basudeb Banerjee ◽  
Shanti Subedi ◽  
Narayan Bahadur Gharti Chhetri ◽  
Yogendra Gupta
Keyword(s):  
Caesarean Section ◽  
Skin Incision ◽  
Artery Ligation ◽  
Obstructed Labor ◽  
Uterine Incision ◽  
Uterine Artery Ligation ◽  
Breech Extraction ◽  
Good Exposure ◽  
Vertical Skin Incision ◽  
Lower Segment Uterine

Caesarean section in a severely kyphotic patient presents with unique challenges. We report a case of obstructed labor in case of a pregnant lady with severe kyphosis of spine that was managed by caesarean section. Lateral recumbent position with adequate assistance and paramedian or vertical skin incision was used and found to provide good exposure. Baby was delivered by lower segment uterine incision by reverse breech extraction. Postpartum hemorrhage was managed with uterotonics and bilateral uterine artery ligation. Tubal ligation though advised was refused by the patient. Prolonged catheterization was done in view of obstructed labor. Postoperative period was uneventful.

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