title: [Comparative evaluation of the Joel-Cohen cesarean section versus the transrectal incision].
abstract: OBJECTIVE
  The aim of this study was to compare the Joel-Cohen method for cesarean section to the traditional transrectal incision.
  
  
  METHODS
  Fifty-two patients requiring a caesarean section were enrolled in this prospective study. Overall morbidity and post-operative pain was assessed. Four surgeons participated to this study, each included 13 patients. The main judgement criterion was post-operative pain on the first day.
  
  
  RESULTS
  Post-operative pain on the first day was less important (50 vs 23% p=0.04) in Joel-Cohen's. This method was shorter compared to the transrectal incision (33.6+6.4 min vs 51.2+8 min p<0.0001). There was no difference in overall morbidity between the two groups.
  
  
  CONCLUSIONS
  Joel-Cohen's method decrease post-operative pain and is a shorter procedure compared to the transrectal incision.
authors.affiliation: Service de gynécologie-obstétrique, CHU de Marseille, hôpital Nord, chemin des Bourelly, 13915 Marseille cedex 20, France. renaud.ledu@gmail.com
authors.forename: R
authors.initials: R
authors.lastname: Le Dû
authors.forename: M
authors.initials: M
authors.lastname: Bernardini
authors.forename: A
authors.initials: A
authors.lastname: Agostini
authors.forename: C
authors.initials: C
authors.lastname: Mazouni
authors.forename: R
authors.initials: R
authors.lastname: Shojai
authors.forename: B
authors.initials: B
authors.lastname: Blanc
authors.forename: M
authors.initials: M
authors.lastname: Gamerre
authors.forename: F
authors.initials: F
authors.lastname: Bretelle
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D009017:Morbidity / Q000639:trends*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000453:epidemiology*; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011446:Prospective Studies; D013997:Time Factors