Modification of an old technique can result in favorable outcome: Epcura

The aim of the study is to compare the characteristics of patients and neonatal outcomes of deliveries with transperitoneal versus extraperitoneal cesarean section under regional anesthesia (EPCU-RA). Materials and

Yöntem

179 cesarean section deliveries under regional anesthesia via transperitoneal and extraperitoneal technique in Osmangazi University School of Medicine Department of Obstetrics and Gynecology from May 1996 were evaluated retrospectively in terms of characteristics of patients and neonatal outcomes. Statistical analysis was performed with use of student-t test.

Bulgular

Age, parity, duration of pregnancy and indications for cesarean section were similar between two groups. The most common indication was cephalopelvic disproportion in both groups. Mean first minute and fifth minute apgar scores for transperitoneal group were 8.66, 9.72 and for extraperitoneal group they were 8.71, 9.71, respectively (p>0.05). Mean birth weights were 3418 gr for transperitoneal and 3453 gr for extraperitoneal group (p>0.05). The only surgical complication for extraperitoneal technique was one case of urinary bladder laceration which was corrected without any problem.

Sonuç

Although extraperitoneal cesarean section is an old technique, use of it under regional anesthesia in proper cases result in good neonatal outcome and favorable maternal morbidity.

Anahtar Kelimeler

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