Abstract

PARELLADA JOA, Orlando  and  SARRIA CASTRO, Madelaine. Caesarea Ladach Misgav-incision versus Phannenstiel conventional cesarean. Rev Cubana Obstet Ginecol [online]. 2013, vol.39, n.4, pp. 330-342. ISSN 0138-600X.

Introduction: caesarean section is one of the oldest surgical procedures and most contemporary midwifery practice. Objective: to evaluate the results of Misgav-Ladach cesarean compared to conventional cesarean. Methods: a retrospective case-control was conducted. 178 pregnant women at term were studied. They had live singleton fetus and indication of cesarean by study group. The parameters and variables assessed were overall complication rate, fetal extraction time, surgical time, amount of intra operative bleeding, surgical accident, injury to the fetus, use of sutures and postoperative morbidity. The statistical analysis covered Homogeneity tests, c² test, Student t test and Odds Ratio. Statistical significance was p <0.05. Confidence intervals were calculated with 95% confidence. Results: the overall complication rate in caesarean section for the Misgav-Ladach method was 3.9%, in the conventional technique it was 13.5 %, OR: 3.87, CI (1.59, 9.08). The average time in fetal extraction in Misgav-Ladach cesarean was 1.9 (SD ± 0.2 min) and 2.8 (SD ± 0.3 min) (p <0.05) in conventional caesarean section. The surgical mean time was 13.8 min lower in Misgav-Ladach cesarean (p< 0, 05). The amount of bleeding, use of sutures and analgesics showed advantageous results in simplified cesarean section; they were lower with significant differences between the groups (p< 0,05). Statistical association was observed between the recovery of intestinal transit, the presence of postoperative fever and wound hematoma with the type of surgery performed (p< 0.05). Conclusions: Misgav-Ladach cesarean offers advantages which benefit the recovery of patients and foster an environment of security which is appropriate to the actions of the surgical team.

Keywords : cesarean; conventional; Phannenstiel; Misgav Ladach; morbidity.

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