[Sectio ceasarea isthmicolongitudinalis--a forgotten beginning and/or groundless fear?].
A retrospective analysis of the frequency, indications, intra- and postoperative complications in isthmicotansverse (ITS) and isthmicolongitudinal (ILS) cesarean section has been conducted with a view to justifying the wider application of ISL in modern obstetrics. For a five-year period (1996-2000) at the Obstetrics and Gynecology Clinic of St. Ann Hospital-Sofia a total of 522 cesarean section were performed of which 348 (66.7%) with isthmicotansverse incision and 174 (33.3%) with isthmicolongitudinal incision. The data show that ILS were ith less blood loss and with less intra- and postoperative complications and it was applied in all types of obstetric indications and urgent cases. Having in mind the good results and the fact that ILS is a technique which could be performed by every obstetrician familiar with ITS, The authors are convinced that isthmicolongitudinal cesarean section can find a wider application in everyday obstetric practice.
Khadzhieva
T
T
Atanasov
A
A
Rachev
E
E
Ilieva
A
A
Baltadzhieva
B
B
Krŭstev
G
G
D002031:Bulgaria / Q000453:epidemiology; D002585:Cesarean Section / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006773:Hospitals, Municipal / Q000706:statistics & numerical data; D006801:Humans; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D012189:Retrospective Studies