Professional paper
MISGAV LADACH SURGICAL TECHNIQUE OF CESAREAN SECTION Our experience at Pula General Hospital
Dragan Belci
Milan Kos
Davor Zoričić
Lino Kuharić
Anđelo Slivar
Erika Begić-Ražem
Ivan Grdinić
Elena Gattoni-Stepanov
Abstract
Objective. To evaluate the advantages of the »Misgav Ladach« surgical technique compared to the tradi-tional technique of caesarean section. Population and methods. A prospective randomized trial of 111 women undergoing caesarean section was carried out in the Pula General Hospital. 49 operations were performed by the traditional technique of caesarean section, 55 by the »Misgav Ladach« method. Results. It was proved that the cases where the »Misgav Ladach« method was implemented, compared to the traditional method, showed a significantly shorter delivery/extraction and operative time (p=0.0009), the incision pain in the second postoperative day was significantly lower (0.021), we recorded a quicker stand up and walking (p=0.013), significantly less analgesic injections and a shorter duration of analgesia were required (p=0.0009) and the bowel function was sooner recovered (p=0.001). Conclusion. The »Misgav Ladach« method of caesarean section has advantages over the traditional method by being significantly quicker to perform, with diminished postoperative pain and less use of postoperative analgesics. The recovery of physiologic functions is faster. No differences were found in intraoperative bleeding, mother morbidity, scar appearance, uterus postoperative involution and the assessment of the inflammation response to the operative technique.
Keywords
caesaeran section; Misgav Ladach; postoperative recovery
Hrčak ID:
15798
URI
Publication date:
1.12.2005.
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