title: [Comparative trial between traditional cesarean section and Misgav-Ladach technique].
abstract: BACKGROUND
  The cesarean section was designed to extract to the neoborn, when the childbirth becomes difficult by the natural routes. The institutional obstetrical work demands long surgical time and high raw materials; therefore, simpler procedures must be implemented.
  
  
  OBJECTIVE
  To compare traditional cesarean section vs Misgav-Ladach technique to assess surgical time, and hospital stay and costs.
  
  
  METHODS
  Forty-eight pregnant patients at term with obstetrical indication for cesarean delivery were randomized in two groups: 24 were submitted to traditional cesarean and 24 to Misgav-Ladach technique. The outcomes included surgical time, bleeding, amount of sutures employed, pain intensity and some others adverse effects.
  
  
  RESULTS
  The surgical time with Misgav-Ladach technique was shorter compared with traditional cesarean section, bleeding was consistently lesser and pain was also low. None adverse effects were registered in both groups.
  
  
  CONCLUSIONS
  Although short follow-up showed significant operative time reduction and less bleeding, longer follow-up should be desirable in order to confirm no abdominal adhesions.
authors.affiliation: Servicio de Ginecología y Obstetricia, Hospital General Dr. Miguel Silva, Secretaría de Salud, Morelia, Michoacán, México.
authors.forename: José Gabriel Tamayo
authors.initials: JG
authors.lastname: Gutiérrez
authors.forename: José Antonio Sereno
authors.initials: JA
authors.lastname: Coló
authors.forename: María Sandra Huape
authors.initials: MS
authors.lastname: Arreola
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data; D010149:Postoperative Pain / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011446:Prospective Studies; D013536:Suture Techniques