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AJP Rep 2016; 06(03): e352-e354
DOI: 10.1055/s-0036-1593444
Perspective
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Could Revision of the Embryology Influence Our Cesarean Delivery Technique: Towards an Optimized Cesarean Delivery for Universal Use

Michael Stark
1   The New European Surgical Society (NESA), Berlin, Germany
2   ELSAN Hospital Group, Paris, France
,
Ospan Mynbaev
3   N.I.Pirogov Russian National Research Medical University, Moscow, Russian Federation
4   Moscow Institute of Physics and Technology (MIPT) (State University), Dolgoprudny, Russian Federation
,
Yuri Vassilevski
5   Institute of Numerical Mathematics, Russian Academy of Sciences, Moscow Institute of Physics and Technology, Moscow, Russian Federation
,
Patrick Rozenberg
6   Department of Obstetrics and Gynecology, Versailles University Hospital, Poissy, France
› Author Affiliations
Further Information

Publication History

20 July 2016

13 August 2016

Publication Date:
30 September 2016 (online)

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Abstract

Until today, there is no standardized Cesarean Section method and many variations exist. The main variations concern the type of abdominal incision, usage of abdominal packs, suturing the uterus in one or two layers, and suturing the peritoneal layers or leaving them open. One of the questions is the optimal location of opening the uterus. Recently, omission of the bladder flap was recommended. The anatomy and histology as results from the embryological knowledge might help to solve this question. The working thesis is that the higher the incision is done, the more damage to muscle tissue can take place contrary to incision in the lower segment, where fibrous tissue prevails. In this perspective, a call for participation in a two-armed prospective study is included, which could result in an optimal, evidence-based Cesarean Section for universal use.

Keywords

bladder flap - bladder plica - cesarean delivery - hysterotomy
 

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