title: Could Revision of the Embryology Influence Our Cesarean Delivery Technique: Towards an Optimized Cesarean Delivery for Universal Use.
abstract: Until today, there is no standardized Cesarean Section method and many variations exist. The main variations concern the type of abdominal incision, usage of abdominal packs, suturing the uterus in one or two layers, and suturing the peritoneal layers or leaving them open. One of the questions is the optimal location of opening the uterus. Recently, omission of the bladder flap was recommended. The anatomy and histology as results from the embryological knowledge might help to solve this question. The working thesis is that the higher the incision is done, the more damage to muscle tissue can take place contrary to incision in the lower segment, where fibrous tissue prevails. In this perspective, a call for participation in a two-armed prospective study is included, which could result in an optimal, evidence-based Cesarean Section for universal use.
authors.affiliation: The New European Surgical Society (NESA), Berlin, Germany; ELSAN Hospital Group, Paris, France.
authors.forename: Michael
authors.initials: M
authors.lastname: Stark
authors.affiliation: N.I.Pirogov Russian National Research Medical University, Moscow, Russian Federation; Moscow Institute of Physics and Technology (MIPT) (State University), Dolgoprudny, Russian Federation.
authors.forename: Ospan
authors.initials: O
authors.lastname: Mynbaev
authors.affiliation: Institute of Numerical Mathematics, Russian Academy of Sciences, Moscow Institute of Physics and Technology, Moscow, Russian Federation.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Vassilevski
authors.affiliation: Department of Obstetrics and Gynecology, Versailles University Hospital, Poissy, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Rozenberg
keywords: bladder flap; bladder plica; cesarean delivery; hysterotomy