Is inferior dissection of the rectus sheath necessary during Pfannenstiel incision for lower segment Caesarean section? A randomised controlled trial

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Rezan A KadirLynne Chapman

Abstract

The objective was to determine the benefit of non-dissection of the rectus sheath inferiorly in a Pfannenstiel incision during an elective Caesarean section with regard to operative blood loss and post-operative pain. A randomised controlled trial. The Royal Free Teaching Hospital in London. One hundred and twenty women who underwent elective Caesarean section delivery. Women were randomised to have dissection or non-dissection of the rectus sheath inferiorly during an elective Caesarean section. Estimated blood loss during the operation, as well as the difference between pre- and post-operative haemoglobin levels. Post-operative pain was assessed by the visual analogue scale, a verbal rating scale and the use of post-operative analgesia. Patient satisfaction was assessed by a verbal rating scale. There was no significant difference in the estimated blood loss during the procedure between the two groups; however, the mean difference between the pre-operative and post-operative haemoglobin was significantly smaller in the study group (p=0.05). There was a statistically significant difference in both the visual analogue scale (p-value=0.03) and the verbal rating scale scores (p-value=0.02) for pain between the two groups, with lo...Continue Reading

Associated Clinical Trials

May 29, 2008·Abbey Hardy-Fairbanks, Abbey Hardy-Fairbanks

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