{"title":"Extraperitoneal versus transperitoneal cesarean section: a retrospective study.","authors":"Chao Ji, Meng Chen, Yichen Qin","doi":"10.1080/00325481.2022.2124774","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate extraperitoneal cesarean section as a routine elective surgery.</p><p><strong>Methods: </strong>In this retrospective study, 461 primiparas were divided into the extraperitoneal and transperitoneal cesarean section groups according to the operation type in a random, but non-blinded, manner. The outcome measures were intraoperative blood loss, operation duration, postoperative gas passage time, postoperative pain, postoperative complications, and neonatal indicators.</p><p><strong>Results: </strong>The operation duration of the extraperitoneal cesarean section group was significantly lower than that of the transperitoneal cesarean section group (P < 0.05). Compared to the transperitoneal cesarean section group, the extraperitoneal cesarean section group had neonates with higher birth weights and fewer neonatal transfers (P < 0.05). There was no difference in other maternal surgical or neonatal complications between the two groups.</p><p><strong>Conclusion: </strong>While extraperitoneal cesarean section can be safely performed as a routine procedure in the surgical delivery of primiparas, it must be performed by well-trained surgeons. In view of its advantages, it is worth being promoted in senior general hospitals as a routine choice.<b>Abbreviations:</b> CS: Cesarean section; ECS: Extraperitoneal; TCS: Transperitoneal; VAS: Visual analogue scale.</p>","PeriodicalId":20329,"journal":{"name":"Postgraduate Medicine","volume":"135 1","pages":"38-42"},"PeriodicalIF":2.6000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Postgraduate Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00325481.2022.2124774","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 1
Abstract
Objectives: To evaluate extraperitoneal cesarean section as a routine elective surgery.
Methods: In this retrospective study, 461 primiparas were divided into the extraperitoneal and transperitoneal cesarean section groups according to the operation type in a random, but non-blinded, manner. The outcome measures were intraoperative blood loss, operation duration, postoperative gas passage time, postoperative pain, postoperative complications, and neonatal indicators.
Results: The operation duration of the extraperitoneal cesarean section group was significantly lower than that of the transperitoneal cesarean section group (P < 0.05). Compared to the transperitoneal cesarean section group, the extraperitoneal cesarean section group had neonates with higher birth weights and fewer neonatal transfers (P < 0.05). There was no difference in other maternal surgical or neonatal complications between the two groups.
Conclusion: While extraperitoneal cesarean section can be safely performed as a routine procedure in the surgical delivery of primiparas, it must be performed by well-trained surgeons. In view of its advantages, it is worth being promoted in senior general hospitals as a routine choice.Abbreviations: CS: Cesarean section; ECS: Extraperitoneal; TCS: Transperitoneal; VAS: Visual analogue scale.
期刊介绍:
Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916, Postgraduate Medicine was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.