[Comparison of two cesarean techniques: classic versus Misgav Ladach cesarean].
OBJECTIVE
The aim of the study was to compare two cesarean section techniques Methodology. A prospective study was conducted UB 400 cesareans performed at the Gynecological and Obstetric Clinic of the Dakar Teaching Hospital between March 2000 and August 2000. Two hundred patients underwent the classical procedure (CL group) and the other 200 the Misgav Ladach procedure (ML group). Per- and post-operative data were compared between the two groups with Student's test and the Chi(2) test. A p-value less than 0.05 was considered statistically significant.


RESULTS
The two groups were similar for socio-demographic and clinical data. The delay between the skin incision and infant delivery was significantly shorter in the ML group (5 minutes 26 seconds versus 6 minutes 20 seconds). The same trend was found for the length of operation (36 minutes 36 seconds versus 54 minutes 38 seconds). Fewer sutures were used in the ML group (2.92 versus 4.14). There is no significant difference for dose of analgesia, post-operative complications and hospital discharge. Cost analysis demonstrated that the Misgav Ladach procedure was 10000 FCFA (15 euros) less costly.


CONCLUSIONS
Misgav Ladach method is simple, rapid, cost-effective cesarean procedure which appears to be an attractive alternative to traditional cesarean section.
Moreira
P
P
Clinique Gynécologique et Obstétricale, CHU Le Dantec, avenue Pasteur, Dakar, Sénégal. phmoreira66@hotmail.com
Moreau
J C
JC
Faye
M E
ME
Ka
S
S
Kane Guèye
S M
SM
Faye
E O
EO
Dieng
T
T
Diadhiou
F
F
D000328:Adult; D016063:Blood Loss, Surgical; D002585:Cesarean Section / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D016009:Chi-Square Distribution; D003362:Cost-Benefit Analysis; D004716:Endometritis / Q000209:etiology; D005260:Female; D006406:Hematoma / Q000209:etiology; D006784:Hospitals, Teaching; D006801:Humans; D010149:Postoperative Pain / Q000209:etiology; D006473:Postpartum Hemorrhage / Q000209:etiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D012675:Senegal; D013530:Surgical Wound Infection / Q000209:etiology; D013536:Suture Techniques; D013997:Time Factors