[The clinical significance of preserving superior epigastric vessels in Cohen incision].
OBJECTIVE
To study the clinical significance of preserving epigastric vessels in Cohen incision.


METHODS
42 cases of pregnant women were performed cesarean section using Cohen incision. One side vessel of incision was preserved, the other side was cut off. By self control comparison, skin temperature of two sides incision has been taken by CET (computer electric infrared thermograph) on the third day post operation. The thinkness of scar was measured with vernier calipers on the 40th day post operation.


RESULTS
The skin temperature difference between both sides of incision was (0.098 +/- 0.088) degree C. On the cut side the skin temperature was higher than that of the other side (P < 0.01). The scar thickness of cut side was (3.61 +/- 0.61) mm, the other side was (3.10 +/- 0.68) mm. The difference was significant (P < 0.01).


CONCLUSIONS
The inflammatory reaction and formation of scar can be decreased by means of preserving superior epigastric vessels in Cohen incision.
Liu
T
T
Qingdao Municipal Hospital, Qingdao 266071.
Dai
S
S
Wei
M
M
D002585:Cesarean Section / Q000379:methods*; D002921:Cicatrix / Q000517:prevention & control; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D011247:Pregnancy; D012881:Skin Temperature; D013817:Thermography / Q000379:methods