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CC BY 4.0 · Surg J (N Y) 2020; 06(S 02): S72-S80
DOI: 10.1055/s-0040-1708060
Precision Surgery in Obstetrics and Gynecology
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Lower-Segment Transverse Cesarean Section

Yuji Hiramatsu
1   Okayama City General Medical Center, Kita-Ku, Okayama, Japan
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Publication Date:
09 June 2020 (online)

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Abstract

Cesarean section is the ultimate method of successful delivery of infants under various circumstances and is an indispensable operation in obstetrics. However, the degree of difficulty varies greatly depending on the gestational weeks, number of fetuses, number of previous cesarean sections, degree of placental adhesion, presence of uterine myomas, maternal obesity, and other factors. In addition, emergency cesarean section is a battle against time, and prompt surgery is required.

During training in cesarean section, surgeons must master the basic techniques in cases of term head presentation first. They must then master the techniques in cases involving complications such as malpresentation, preterm birth, placenta previa, abruptio placentae, uterine myomas, and other conditions.

Cesarean section itself is a simple operation. However, there are many difficult cases, and many complications such as placenta accreta and defects of the incision scar may occur after cesarean section.

The present report describes the basic procedures and cautionary points to perform the cesarean section without complications.

Keywords

cesarean section - lower-segment transverse section - ultrasonography
 

  • References

  • 1 Hiramatsu Y. Lower-segment transverse cesarean section. In: Hiramatsu Y, Konishi I, Sakuragi N, Takeda S, eds. OGS Now, No.3 Cesarean Section (Japanese). Tokyo: Medical View; 2010: 28-41
    Google Scholar
  • 2 Hiramatsu Y. Caesarean section (1) basic surgery. Obstet Gynecol (Japanese) 2007; 94: 332-338
    PubMedGoogle Scholar
  • 3 Hiramatsu Y. Caesarean section. Pract Obstet Gynecol (Japanese) 2001; 50: 1457-1465
    PubMedGoogle Scholar
  • 4 Hiramatsu Y, Ihara N, Nishii E. Cautions for cesarean section due to differences in pregnancies (head and breech presentation, transverse lie). Pract Obstet Gynecol 1996; 45: 1651-1655
    PubMedGoogle Scholar
  • 5 Hiramatsu Y. How to suture the uterine incision in cesarean section. Perinat Med (Japanese) 2002; 32: 250-254
    PubMedGoogle Scholar
  • 6 Enkin MW, Wilkinson C. Single versus two layer suturing for closing the uterine incision at caesarean section. Cochrane Database Syst Rev 2000; (02) CD000192
    PubMedGoogle Scholar
  • 7 Hema KR, Johanson R. Techniques for performing caesarean section. Best Pract Res Clin Obstet Gynaecol 2001; 15 (01) 17-47
    CrossrefPubMedGoogle Scholar
  • 8 Hiramatsu Y, Masuyama H, Masaoka N, Terao Y, Fujii T, Mihashi N. Nation-wide survey on peritoneal sutures during laparotomy. Surg Obstet Gynecol (Japanese) 2009; 20: 125-129
    PubMedGoogle Scholar
  • 9 Bamigboye AA, Hofmeyr GJ. Closure versus non-closure of the peritoneum at caesarean section. Cochrane Database Syst Rev 2003; (04) CD000163
    PubMedGoogle Scholar
  • 10 Di Spiezio Sardo A, Saccone G, McCurdy R, Bujold E, Bifulco G, Berghella V. Risk of cesarean scar defect following single- vs double-layer uterine closure: systematic review and meta-analysis of randomized controlled trials. Ultrasound Obstet Gynecol 2017; 50 (05) 578-583
    CrossrefPubMedGoogle Scholar
  • 11 Dodd JM, Anderson ER, Gates S, Grivell RM. Surgical techniques for uterine incision and uterine closure at the time of caesarean section. Cochrane Database Syst Rev 2014; (07) CD004732
    PubMedGoogle Scholar