title: Comparative analysis of long-term outcomes of Misgav Ladach technique cesarean section and traditional cesarean section.
abstract: OBJECTIVE
  The aim of the present study was to evaluate pelvic adhesions, dehiscence and chronic pelvic pain in two groups of patients who underwent different cesarean section (CS) operations.
  
  
  METHODS
  One hundred and twelve eligible patients who met our criteria were randomly divided into two groups. Group 1 consisted of 52 women who had been operated at their first CS by Misgav Ladach technique and had now undergone a second CS. Group 2 consisted of 60 women who had been operated at their first CS by traditional (Pfannenstiel) technique and had now undergone a second CS. The two groups were compared for long-term outcomes, including adhesion, pelvic pain and wound dehiscence.
  
  
  RESULTS
  The rate of adhesion in group 2 was 50% filmy type and 1.7% dense type. However, in group 1 the adhesion rate was 50% filmy and there was no dense type (P = 0.12). The location of adhesions were significantly different (P = 0.04). Dehiscence of uterine incision in the second group was seen in three patients but no dehiscence was found in the first group (P = 0.012). The rate of chronic pelvic pain in Misgav Ladach group (group 1) was 17.2% versus 35% in the traditional method (P = 0.01).
  
  
  CONCLUSIONS
  The present results support the method of single layer suturing of the uterus and leaving the peritoneum intact in CS.
authors: Department of Obstetrics and Gynecology, Isfahan Medical School, Isfahan University of Medical Sciences and Health Services, Tehran, Iran.
authors: Ata
authors: A
authors: Ghahiry
authors: Farimah
authors: F
authors: Rezaei
authors: Reza
authors: R
authors: Karimi Khouzani
authors: Mansoor
authors: M
authors: Ashrafinia
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000379:methods*; D059350:Chronic Pain / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007492:Iran; D010149:Postoperative Pain / Q000517:prevention & control*; D017699:Pelvic Pain / Q000209:etiology / Q000517:prevention & control*; D011247:Pregnancy; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D000267:Tissue Adhesions / Q000517:prevention & control; D014599:Uterus / Q000601:surgery; D055815:Young Adult