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Women's Health & Gynecology

JWHG

Aabstract

Research Article

Comparison of Pfannensteil Kerr and Modified Misgav Ladach Methods of Caeserean Operation

Nihan Gencdal, Servet Gencdal, Emre Ekmekci, Huseyin Aydogmus, Serpil Aydogmus, Sefa Kelekci and Emre Destegul

Correspondence Address :

Servet Gencdal
Obstetrics and Gynecology Clinic
Izmir Ataturk Education and Research Hospital
Ministry of Health, Izmir
Turkey
Tel: +905053143136
Fax: +90(0232) 243 15 30
Email: servetgencdal@hotmail.com

Received on: February 21, 2016, Accepted on: March 23, 2016, Published on: March 30, 2016

Citation: Nihan Gencdal, Servet Gencdal, Emre Ekmekci, et al. (2016). Comparison of Pfannensteil Kerr and Modified Misgav Ladach Methods of Caeserean Operation

Copyright: 2016 Servet Gencdal, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Objective: In this study we aimed to compare the operation time, amount of bleeding, hospitalization time, postoperative infection, postoperative pain and amount of required analgesic between the two methods; Pfannenstiel Kerr and modified Misgav Ladach.
Material and Methods: The study is conducted with the participation of 60 patients who underwent cesarean operation emergent or electively. Half of the patients underwent PK technique and the other half underwent MML technique cesarean. The patients who had previous cesarean section or previous abdominal surgery, who had bleeding diathesis, who had fever over 38.C tympanic in the last 48 hours before surgery and patients with chorioamnionitis, preeclampsia were excluded from the study. Pearson Chi-Square and Fisher's exact tests were used for the comparison of categorical data between groups. 
Results: Amount of bleeding(cc) and birth weight were found higher in PK group than the MML group and the results were statistically significant(p<0,05). Mean VAS values of patients were 5,17 +/- 1,34 in the 8th hour and 4,05 +/- 1,55 in the 24th hour. Mean pre-operative Hb values were 11,81 +/- 1,53gr/dl and mean post-operative Hb values were 10,25 +/- 1,54gr/dl. The average difference between pre and post-operative Hb values was found to be 1.56 +/- 0.82gr/dl.
Conclusion: The Misgav Ladach method of CS has advantages over the Pfannenstiel Kerr method with significantly reduced amount of bleeding and diminished postoperative pain. 
Keywords: Cesarean section, Misgav Ladach, Pfannenstiel incision

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