title: Modified extraperitoneal Caesarean section: clinical experience.
abstract: The objective of the study was to study postoperative progress of modified extraperitoneal Caesarean section (MECS) technique (group A) and its comparison with standard transperitoneal Caesarean section (TCS) (group B). It is a prospective observational study with sample sizes of 93 and 105 for groups A and B, respectively, in the settings of Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India, which see over 10,000 deliveries per annum. Five parameters were studied. Postoperative febrile morbidity was significantly lower in group A than in group B (6.5% versus 21%; P = 0.004). Gastrointestinal function recovery occurred earlier in group A than B (6 h versus 18.5 h; P < 0.01). Although the difference between skin incision to baby delivery time was significant (6.0 min versus 3.1 min; P < 0.01), there was no significant difference in Apgar score at 1 min (P = 0.3). There was no difference in intraoperative complications in two groups. MECS is associated with less febrile morbidity and early postoperative recovery than TCS.
authors: Department of Obstetrics and Gynecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India.drgashinde@rediffmail.com
authors: Ganesh
authors: G
authors: Shinde
authors: Anita
authors: A
authors: Pawar
authors: Balaji
authors: B
authors: Jadhav
authors: Kunal
authors: K
authors: Rathod
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007194:India; D007431:Intraoperative Complications; D019370:Observation; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011446:Prospective Studies; D055815:Young Adult