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Chapter-28 Cesarean Section

BOOK TITLE: Operative Obstetrics and Gynecology

Author
1. Barik Sukumar
2. Jana Narayan
3. Mukhopadhyay Ashis Kumar
ISBN
9788184485370
DOI
10.5005/jp/books/11088_28
Edition
1/e
Publishing Year
2009
Pages
11
Author Affiliations
1. Westbank Hospital, Andul Road Howrah, West Bengal, Westbank Hospital, Howrah, Westbank Hospital, Howrah, West Bengal, Howrah, West Bengal, India, ICARE Institute of Medical Sciences and Research, Haldia, West Bengal, India; Westbank Hospital, Howrah, West Bengal, India, Howrah (West Bengal), Kolkata, West Bengal, India, Westbank Hospital, Andul Road, Howrah, India
2. Institute of Postgraduate Medical Education and Research, Kolkata, India, Kolkata, Kolkata, West Bengal, India, Institute of Postgraduate Medical, Education and Research, Kolkata, Institute of Postgraduate Medical Education, and Research, Kolkata, India
3. Eden Hospital Medical College, Kolkata, Eden Hospital, Medical College, Kolkata, Kolkata, West Bengal, India, Kolkata, FOGSI, 2016-17; CSS College of Obstetrics Gynecology and Child Health, Kolkata, West Bengal, India
Chapter keywords
preventive measures, inadvertent damage, uterine vessels, operative procedure, incision, dehiscence, mops, cesarean delivery, cochrane review, margins, placenta, manual removal, extension, parietal peritoneum

Abstract

This chapter discusses various aspects of cesarean section. This procedure includes skin incision, opening rectus sheath, stretching abdominal wall laterally, separating rectus sheath upwards, insertion of Doyen\'s retractor and identification of lower segment, incising uterovesical fold of peritoneum, and rupture of amniotic sac. it also includes transverse incision on lower uterine segment, finger stretching of uterine incision, delivery of the fetus, clamping the cord, delivery of placenta, and delivery of membranes. Wiping the uterine cavity, application of stay knot, use of single double needle polyglycone suture for uterine wound closure, suturing of first layer of uterine incision, continuous interlocking suture of uterine wound, completion of first layer suture, completion of second layer suture, inspection of adnexa, checking hemostasis in subcutaneous layer, subcuticular skin suture, and completing skin suture, are the procedures that completes a cesarean section. The classical cesarean section is a vertical incision into upper uterine segment and infrequently practiced in modern obstetrics. Complications of cesarean section include hemorrhage and injury to the bladder.

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