[Wound rupture after Misgav-Ladach cesarean section: a case report].
BACKGROUND
We describe a patient with wound rupture and burst abdomen after cesarean section with the Misgav-Ladach technique.


METHODS
A 33-year-old woman underwent primary cesarean section at 36 + 5 weeks gestation for a fetal indication. The procedure was done according to the Misgav-Ladach technique, i.e. the uterus was closed with a one-layer continuous locking stitch and the visceral and parietal peritoneal layers were left open. The rectus sheath was stitched with a continuous nonlocking stitch, the skin was closed with a continuous intracutaneous suture. On the seventh postoperative day, omentum was seen extruding from the skin incision. Reexploration showed that the suture of the rectus sheath had ruptured. The further postoperative course was uneventful.


CONCLUSIONS
Although no general recommendations can be deduced from a single case, further reports on any complications of this technique will show whether it is as safe as believed until now.
Klinische Abteilung für allgemeine Gynäkologie und Geburtshilfe der Geburtshilflich-gynäkologischen, Universitätsklinik Graz, Auenbruggerplatz 14, AT-8036 Graz, Austria. heinz.scholz@uni-graz.at
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Scholz
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Petru
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Tamussino
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Winter
D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010537:Peritoneum / Q000601:surgery; D011247:Pregnancy; D017568:Rectus Abdominis / Q000601:surgery; D012086:Reoperation; D012422:Rupture, Spontaneous; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery