Transverse Versus Vertical Skin Incision for Planned Cesarean Hysterectomy: Does It Matter? [12S]

2019 ◽  
Vol 133 (1) ◽  
pp. 205S-205S
Author(s):  
Alec W. Szlachta-McGinn ◽  
Jenny Y. Mei ◽  
Khalil Tabsh ◽  
Yalda Afshar
Keyword(s):  
Skin Incision ◽  
Cesarean Hysterectomy ◽  
Vertical Skin Incision

scholarly journals Transverse versus vertical skin incision for planned cesarean hysterectomy: does it matter?

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alec Szlachta-McGinn ◽  
Jenny Mei ◽  
Khalil Tabsh ◽  
Yalda Afshar
Keyword(s):  
Skin Incision ◽  
Cesarean Hysterectomy ◽  
Vertical Skin Incision

DO TRANSVERSE SKIN INCISION & ADHESION AT POST CAESAREAN DELIVERY DELAY DELIVERY OF NEONATES & INCREASE MATERNAL MORBIDITY: A COHORT STUDY

2021 ◽  
pp. 65-70
Author(s):  
Bibekananda Das ◽  
Abhijit Pahari ◽  
Kajal Kumar Patra
Keyword(s):  
Cohort Study ◽  
Caesarean Section ◽  
Abdominal Wall ◽  
Skin Incision ◽  
Categorical Variables ◽  
Number Of Patients ◽  
Vertical Incision ◽  
Tertiary Teaching ◽  
Transverse Skin Incision ◽  
Vertical Skin Incision

Background: The most common major abdominal operation done on women is Caesarean section. Over the past century delivery by Caesarean section has been increased in both developed and developing countries. Various abdominal incisions have been used for Cesarean delivery. Today most of the caesarean section are performed with either a vertical infra umbilical midline incision [VIUI] or pfannenstiel incision. Both the skin incisions possess some benets and drawbacks. Methods: This study was a prospective cohort study conducted in the department of Gynaecology & Obstetrics, Burdwan Medical College & Hospital, Burdwan, West Bengal a tertiary teaching institute, from July, 2017 to November, 2018. 142 mothers were included in the study after informed consent from the patient about being a part of this study. Among them, 37 were with midline vertical skin incision, 51 were with transverse skin incision, and 54 were primigravida. Categorical variables are expressed as Number of patients and percentage of patients and compared across the groups using Pearson's Chi Square test for Independence of Attributes/ Fisher's Exact Test as appropriate. Results: 57.41% of primigravida are in 18 to 20 years age group, 42.59 % in 21-25 years, no women was over 25 years. women with previous vertical incision 27.03% have no adhesion, 59.46 % have mild adhesion, and 13.51% have severe adhesion. In women with previous transverse incision 21.57% have no adhesion, 47.06% have mild adhesion and 31.37%have severe adhesion. 34.7% adhesion are between uterus and bladder, 26.5% adhesion are between uterus and omentum, 20.4% adhesion are between uterus and abdominal wall, 12.2% adhesion between omentum and abdominal wall, 6.2% adhesion are in others organ Conclusions: There was signicant delay in delivery of neonates in post caesarean mothers with previous transverse skin incision than vertical incision. Previous transverse skin incision is associated with more severe adhesion than vertical skin incision

Vertical muscle-splitting thoracotomy via a vertical skin incision for right upper lobectomy through the fourth intercostal space

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 711-711
Author(s):  
Noriaki Sakakura ◽  
Tetsuya Mizuno ◽  
Takaaki Arimura ◽  
Hiroaki Kuroda ◽  
Yukinori Sakao
Keyword(s):  
Skin Incision ◽  
Intercostal Space ◽  
Fourth Intercostal Space ◽  
Vertical Skin Incision

Typical vertical muscle-sparing thoracotomy via a vertical skin incision for right lower lobectomy through the fifth intercostal space

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 710-710
Author(s):  
Noriaki Sakakura ◽  
Tetsuya Mizuno ◽  
Takaaki Arimura ◽  
Hiroaki Kuroda ◽  
Yukinori Sakao
Keyword(s):  
Skin Incision ◽  
Intercostal Space ◽  
Lower Lobectomy ◽  
Muscle Sparing ◽  
Right Lower Lobectomy ◽  
Vertical Skin Incision

scholarly journals Challenges in the Caesarean Section of a Severely Kyphotic Parturient

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Manisha Chhetry ◽  
Basudeb Banerjee ◽  
Shanti Subedi ◽  
Narayan Bahadur Gharti Chhetri ◽  
Yogendra Gupta
Keyword(s):  
Caesarean Section ◽  
Skin Incision ◽  
Artery Ligation ◽  
Obstructed Labor ◽  
Uterine Incision ◽  
Uterine Artery Ligation ◽  
Breech Extraction ◽  
Good Exposure ◽  
Vertical Skin Incision ◽  
Lower Segment Uterine

Caesarean section in a severely kyphotic patient presents with unique challenges. We report a case of obstructed labor in case of a pregnant lady with severe kyphosis of spine that was managed by caesarean section. Lateral recumbent position with adequate assistance and paramedian or vertical skin incision was used and found to provide good exposure. Baby was delivered by lower segment uterine incision by reverse breech extraction. Postpartum hemorrhage was managed with uterotonics and bilateral uterine artery ligation. Tubal ligation though advised was refused by the patient. Prolonged catheterization was done in view of obstructed labor. Postoperative period was uneventful.

Limited vertical skin incision for median sternotomy

1992 ◽  
Vol 54 (4) ◽  
pp. 787-788 ◽  
Author(s):  
Shoh Tatebe ◽  
Shoji Eguchi ◽  
Haruo Miyamura ◽  
Satoshi Nakazawa ◽  
Hiroshi Watanabe ◽  
...  
Keyword(s):  
Median Sternotomy ◽  
Skin Incision ◽  
Vertical Skin Incision

scholarly journals Maternal and neonatal outcomes in transverse and vertical skin incision for placenta previa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dazhi Fan ◽  
Huishan Zhang ◽  
Jiaming Rao ◽  
Dongxin Lin ◽  
Shuzhen Wu ◽  
...  
Keyword(s):  
Blood Loss ◽  
Cesarean Delivery ◽  
Placenta Previa ◽  
Skin Incision ◽  
Neonatal Outcomes ◽  
Lower Percentage ◽  
Estimated Blood Loss ◽  
Maternal And Neonatal Outcomes ◽  
Transverse Skin Incision ◽  
Vertical Skin Incision

Abstract Background Placenta previa, a serious obstetric issue, should be managed by experienced teams. The safe and appropriate mode of delivery for placenta previa is by cesarean delivery. However, no studies were found comparing either maternal or neonatal outcomes for different skin incision in women with placenta previa. The aim of this study was to compare maternal and neonatal outcomes by skin incision types (transverse compared with vertical) in a large cohort of women with placenta previa who were undergoing cesarean delivery. Methods This was a retrospective cohort study carried out between January 2014 and June 2019. All pregnant women with placenta previa had confirmed by ultrasonologist before delivery and obstetrician at delivery. The primary outcome was the estimated blood loss during the surgery and within the first 24 hours postoperatively. Mean (standard deviation), median (interquartile range) or frequency (percentage) was reported to variables. Appropriate parametric and nonparametric tests were used to analyses. Results The study included 1098 complete records, 332 (30.24%) cases in the vertical skin incision group and 766 (69.76%) cases in the transverse skin incision group. Those with vertical incision showed a higher percentage of preterm delivery, anterior placenta, abnormally invasive placenta, and history of previous cesarean delivery, and a lower percentage of first pregnancy, in vitro fertilization, and emergency cesarean delivery. After controlling for confounding factors, higher incidence of post-partum hemorrhage (OR 5.47, 95% CI 3.84–7.79), maternal intensive care unit (OR 4.30, 95% CI 2.86–6.45), transfusion (OR 5.97, 95% CI 4.15–8.58), and 5-min APGAR< 7 (OR 9.03, 95% CI 1.83–44.49), a more estimated blood loss (β 601.85, 95%CI 458.78–744.91), and a longer length of hospital stay after delivery (β 0.54, 95%CI 0.23–0.86) were found in the vertical skin incision group. Conclusions Our data demonstrated that transverse skin incision group showed the better perinatal outcomes in women with placenta previa. Future collaborative studies are needed to be done by centers for placenta previa to have a better understanding of the characteristics and the outcomes of the disease in the choosing skin incision.

scholarly journals Prevalence and root causes of surgical site infection among women undergoing caesarean section in Ethiopia: a systematic review and meta-analysis

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Fentahun Adane ◽  
Abay Mulu ◽  
Girma Seyoum ◽  
Alemu Gebrie ◽  
Akilog Lake
Keyword(s):  
Systematic Review ◽  
Caesarean Section ◽  
Surgical Site Infection ◽  
General Anesthesia ◽  
Subcutaneous Tissue ◽  
Meta Analysis ◽  
Skin Incision ◽  
Site Infection ◽  
Prolonged Labor ◽  
Vertical Skin Incision

Abstract Background Surgical site infection is a common complication in women undergoing Caesarean section and the second most common cause of maternal mortality in obstetrics. In Ethiopia, prevalence and root causes of surgical site infection post-Caesarean section are highly variable. This systematic review and meta-analysis estimate the overall prevalence of surgical site infection and its root causes among women undergoing Caesarean section in Ethiopia. Method Systematic review and meta-analysis were conducted to assess the prevalence and root causes of surgical site infection in Ethiopia. The articles were searched from the databases such as Medline, Google Scholar and Science Direct. A total of 13 studies from different regions of Ethiopia reporting the prevalence and root causes of surgical site infection among women undergoing Caesarean section were included. A random effect meta-analysis model was computed to estimate the overall prevalence. In addition, the association between risk factor variables and surgical site infection related to Caesarean section were examined. Results Thirteen studies in Ethiopia showed that the overall prevalence of surgical site infection among women undergoing Caesarean section was 8.81% (95% CI: 6.34–11.28). Prolonged labor, prolonged rupture of membrane, presence of anemia, presence of chorioamnionitis, presence of meconium, vertical skin incision, greater than 2 cm thickness of subcutaneous tissue, and general anesthesia were significantly associated with surgical site infection post-Caesarean section. Conclusion Prevalence of surgical site infection among women undergoing Caesarean section was relatively higher in Ethiopians compared with the report of center of disease control guideline. Prolonged labor, prolonged rupture of membrane, presence of anemia, chorioamnionitis, presence of meconium, vertical skin incision, greater than 2 cm thickness of subcutaneous tissue and/or general anesthesia were significantly associated with surgical site infection post-Caesarean section.

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