Abstract
The article presents the data on subfascial hematomas observed after Pfanennstiel incisions. The frequency of hematomas increases in patients with the new coronavirus infection. The latest interim guidelines «Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19) version 15 (02.22.2022)» indicate the need for «an emergency abdominal delivery (caesarean section) taking into account all measures for the prevention of coagulopathic and hypotonic obstetric bleeding». However, no specification is given as to which technique for performing a caesarean section should be followed or with what operational access should laparotomy of the anterior abdominal wall be carried out. Given the authors’ own experience, he authors believe that under the COVID-19 the incision of the anterior abdominal wall should be carried out according to Joel-Cohan method, as less traumatic and more rapid, with less post-operation complications. Methods for diagnosing and treating hematomas are proposed, using highly selective angiography and embolization of damaged vessels. A clinical observation is presented as an example.
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