Omission of the Bladder Flap Suggests Short Term and Long Term Benefits

• 作者: Manal A. Farahat Mona Omar
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: CESAREAN Section BLADDER FLAP Adhesion OPERATIVE Time
• 年，卷（期）: 2019,（5）
• 页码范围: 566-577
• 页数: 12页
• 分类号: R73

摘要

Background: Cesarean section is now the most common major surgical procedure performed on women worldwide. With the increasing numbers of cesarean sections, there is the need to utilize evidence based techniques to optimize outcomes and minimize complications. We hypothesize that omission of the bladder flap in both primary and repeat cesarean sections will be associated with shorter operating time without a significant increase in intraoperative and postoperative complications. Methods: 550 patients were enrolled in the study. They were randomly allocated in the 2 groups to evaluate the effects of cancelling the bladder dissection. Results: Significant reduction of the total operating time (p = 0.01), skin to delivery time (p = 0.02) and micro-hematuria (p = 0.01) in group with bladder omission. Long term result: Including more bladder adhesion and fibrosis in the cases with bladder dissection. Conclusions: Omission of the bladder dissection achieved short-term advantages as regards reduction of operating time, incision-delivery duration and decreased blood loss as well as long-term effects include different in the bladder adhesion.