Extraperitoneal versus transperitoneal cesarean section: a retrospective study.

IF 2.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Postgraduate Medicine Pub Date : 2023-01-01 DOI:10.1080/00325481.2022.2124774

Chao Ji, Meng Chen, Yichen Qin

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引用次数: 1

Abstract

Objectives: To evaluate extraperitoneal cesarean section as a routine elective surgery.

Methods: In this retrospective study, 461 primiparas were divided into the extraperitoneal and transperitoneal cesarean section groups according to the operation type in a random, but non-blinded, manner. The outcome measures were intraoperative blood loss, operation duration, postoperative gas passage time, postoperative pain, postoperative complications, and neonatal indicators.

Results: The operation duration of the extraperitoneal cesarean section group was significantly lower than that of the transperitoneal cesarean section group (P < 0.05). Compared to the transperitoneal cesarean section group, the extraperitoneal cesarean section group had neonates with higher birth weights and fewer neonatal transfers (P < 0.05). There was no difference in other maternal surgical or neonatal complications between the two groups.

Conclusion: While extraperitoneal cesarean section can be safely performed as a routine procedure in the surgical delivery of primiparas, it must be performed by well-trained surgeons. In view of its advantages, it is worth being promoted in senior general hospitals as a routine choice.Abbreviations: CS: Cesarean section; ECS: Extraperitoneal; TCS: Transperitoneal; VAS: Visual analogue scale.

查看原文本刊更多论文

腹膜外与经腹膜剖宫产:一项回顾性研究。

目的:评价腹膜外剖宫产术作为常规择期手术的可行性。方法:采用随机非盲法将461例初产妇按手术方式分为腹膜外剖宫产术组和经腹膜剖宫产术组。观察指标为术中出血量、手术时间、术后气体通过时间、术后疼痛、术后并发症和新生儿指标。结果:腹膜外剖宫产术组的手术时间明显低于经腹膜剖宫产术组(P结论:腹膜外剖宫产术作为初产妇外科分娩的常规手术是可以安全进行的，但必须由训练有素的外科医生进行。鉴于其优势，值得作为常规选择在高级综合医院推广。缩写词:CS:剖宫产;ECS: Extraperitoneal;TCS:腹膜腔;VAS:视觉模拟量表。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Postgraduate Medicine 医学-医学：内科

CiteScore

6.10

自引率

2.40%

发文量

110

审稿时长

6-12 weeks

期刊介绍： Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916, Postgraduate Medicine was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.