The Misgav Ladach method – a step forward in operative technique in obstetrics
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Z. Fatušic
Abstract
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.
Copyright © 2003 by Walter de Gruyter GmbH & Co. KG
Articles in the same Issue
- Message from the President of the WCPM
- Message from the President of the WAPM
- Antalya Consensus on Perinatal Care:The Report of the 2nd World Congress of Perinatal Medicine for Developing Countries, 1–5 October 2002, Antalya, Turkey
- Reduction in mortality needs a bit more than the science of perinatology
- Global, regional and national perinatal and neonatal mortality
- Maternal mortality in Turkey
- Maternal mortality in developing countries
- Organization of neonatal care services and its importance
- The Misgav Ladach method – a step forward in operative technique in obstetrics
- Monitoring the IUGR fetus
- Massive obstetric hemorrhage
- Breech deliveries and cesarean section
- Iron supplementation in pregnancy
- Antenatal diagnosis and prognosis of conjoined twins – a case report
- Preliminary report on a new and noninvasive method for the assessment of fetal lung maturity
- Perinatal mortality rate – hospital based study during 1998–2001 at Hacettepe University
- The effect of glucocorticoid therapy on prevention of early neonatal complications in preterm delivery
- Congress Calendar
Articles in the same Issue
- Message from the President of the WCPM
- Message from the President of the WAPM
- Antalya Consensus on Perinatal Care:The Report of the 2nd World Congress of Perinatal Medicine for Developing Countries, 1–5 October 2002, Antalya, Turkey
- Reduction in mortality needs a bit more than the science of perinatology
- Global, regional and national perinatal and neonatal mortality
- Maternal mortality in Turkey
- Maternal mortality in developing countries
- Organization of neonatal care services and its importance
- The Misgav Ladach method – a step forward in operative technique in obstetrics
- Monitoring the IUGR fetus
- Massive obstetric hemorrhage
- Breech deliveries and cesarean section
- Iron supplementation in pregnancy
- Antenatal diagnosis and prognosis of conjoined twins – a case report
- Preliminary report on a new and noninvasive method for the assessment of fetal lung maturity
- Perinatal mortality rate – hospital based study during 1998–2001 at Hacettepe University
- The effect of glucocorticoid therapy on prevention of early neonatal complications in preterm delivery
- Congress Calendar
