Abdominal Cesarean Research Articles

The Correlation Between Crawford Wedge and 15 ° Table Left Tilt on Hemodynamic Changes in Caesarean Section a Prospective Observational Study

The supine hypotensive syndrome occurs due to the gravid uterus compressing the inferior vena cava when a pregnant woman lies in a supine position, resulting in reduced central venous return also known as inferior vena cava compression. syndrome Supine hypotension syndrome results in signs of shock and by a decrease in maternal blood pressure. This may result in life-threatening complications in the mother and fetus. To reduce the incidence of supine hypotension syndrome, a few practices were recommended by authors in maternal positioning during Lower abdominal cesarean section (LSCS) surgeries'. Here in this study, we are comparing hemodynamic stability between Table left tilt and wedge under the right hip

Epithelioid trophoblastic tumor coexisting with choriocarcinoma around an abdominal wall cesarean scar: a case report and review of the literature

BackgroundMixed gestational trophoblastic neoplasms are extremely rare and comprise a group of fetal trophoblastic tumors including choriocarcinomas, epithelioid trophoblastic tumors, and placental site trophoblastic tumors. We present a case of a patient with extrauterine mixed gestational trophoblastic neoplasm adjacent to the abdominal wall cesarean scar. On the basis of a literature review, this type of case has never been reported before due to the unique lesion location and low incidence.Case presentationOur patient was a 39-year-old Chinese woman who had a history of two cesarean sections and one miscarriage. She had a recurrent anterior abdominal wall mass around her cesarean scar, and the mass was initially suspected of being choriocarcinoma of unknown origin. The patient had concomitant negative or mildly increased serum β-human chorionic gonadotropin at follow-up and no abnormal vaginal bleeding or abdominal pain. However, she underwent local excision twice and had two courses of chemotherapy with an etoposide and cisplatin regimen. She finally opted for exploratory laparotomy with abdominal wall lesion removal, subtotal hysterectomy, bilateral salpingectomy, and left ovarian cyst resection, which showed the abdominal wall lesion, whose components were revealed by microscopy and immunohistochemical staining to be approximately 90% epithelioid trophoblastic tumors and 10% choriocarcinomas from a solely extrauterine mixed gestational trophoblastic neoplasm around an abdominal wall cesarean scar.ConclusionsIt is worth noting whether epithelioid trophoblastic tumor exists in the setting of persistent positive low-level β-human chorionic gonadotropin. More studies are required to provide mechanistic insights into these mixed gestational trophoblastic neoplasms.

한국산 자라를 복부절개하여 채란한 난들을 실온에서 인공부란하여 출생한 자라 새끼들의 성비와 부란소요일

한국산 자라를 복부절개하여 채란한 난들을 실온에서 인공부란하여 출생한 자라 새끼들의 성비와 부란소요일

Scar endometriosis: A rare case report

Endometriosis is condition in which presence of functioning endometrial tissue outside the uterine cavity. It is of two types, pelvic and extrapelvic types. Scar endometriosis is a rare entity and extrapelvic type and very difficult to diagnose. The incidence of scar endometriosis is 0.03% to 0.15%. It is commonly occur after obstetrical and gynecological surgeries. We report a rare case of scar endometriosis in 28 years Indian female who presented with anterior abdominal wall swelling and pain in the mass during menstrual cycle since 1 year at lower abdominal cesarean section site after 2 years of surgery. The purpose of presenting this case is to discuss clinical features, incidence, pathogenesis, and histopathological findings. Histopathology plays a key role in the diagnosis of scar endometriosis.

A Multifaceted Approach Reduces Surgical Site Infection Rates, Incidents, and Associated Costs for Abdominal Hysterectomy and Caesarean Section Patients

A Multifaceted Approach Reduces Surgical Site Infection Rates, Incidents, and Associated Costs for Abdominal Hysterectomy and Caesarean Section Patients

Ropivacaine Abdominal Wound Infiltration and Peritoneal Spraying at Cesarean Delivery for Preemptive Analgesia

Abstract Objective To determine whether ropivacaine infiltration into all layers of the abdominal cesarean wound and spraying of the peritoneum decreases postoperative pain. Methods A randomized controlled trial of women undergoing cesarean delivery under general anesthetic allocated to receive either 30 mL of 0.75% ropivacaine or 30 mL of saline into the wound, including spraying of the peritoneum. Postoperative pain and need for rescue opioids were assessed. Results Of the 50 women in the ropivacaine group, 24 (48%) required pethidine or experienced severe pain within 1 hour postoperatively compared with 47 (94%) of 50 women in the control group (relative risk 0.51, 95% CI, 0.38–0.69). The amount of pethidine used in the first hour was reduced in the ropivacaine group (mean difference − 58, 95% CI, − 73.53 to − 42.40). Use of diclofenac and tramadol/paracetamol was also reduced in the ropivacaine group. Conclusion Ropivacaine wound infiltration and peritoneal spraying during cesarean delivery under general anesthetic reduces severe pain and need for opioids.

Ropivacaine abdominal wound infiltration and peritoneal spraying at cesarean delivery for preemptive analgesia

Objective To determine whether ropivacaine infiltration into all layers of the abdominal cesarean wound and spraying of the peritoneum decreases postoperative pain. Methods A randomized controlled trial of women undergoing cesarean delivery under general anesthetic allocated to receive either 30 mL of 0.75% ropivacaine or 30 mL of saline into the wound, including spraying of the peritoneum. Postoperative pain and need for rescue opioids were assessed. Results Of the 50 women in the ropivacaine group, 24 (48%) required pethidine or experienced severe pain within 1 hour postoperatively compared with 47 (94%) of 50 women in the control group (relative risk 0.51, 95% CI, 0.38–0.69). The amount of pethidine used in the first hour was reduced in the ropivacaine group (mean difference − 58, 95% CI, − 73.53 to − 42.40). Use of diclofenac and tramadol/paracetamol was also reduced in the ropivacaine group. Conclusion Ropivacaine wound infiltration and peritoneal spraying during cesarean delivery under general anesthetic reduces severe pain and need for opioids.

Uterine Adherence to the Abdominal Wall Following Caesarean Section Presenting as a Cause of Chronic Pelvic Pain—a Cohort Study

Background: The pathophysiology of chronic pelvic pain is not completely understood. Our aim was to present an unreported cause of chronic pelvic pain due to uterine adherence to the abdominal wall as a sequela of previous Caesarean section. Methods: The medical records of all women post-Caesarean section who were operated on in our department during the years 1999–2003 because of chronic pelvic pain, and who had been found to have uterine adherence to the abdominal wall, were reviewed. Sixteen (16) women diagnosed with this condition comprised the study cohort. A telephone survey was conducted to find out whether the surgery resolved the problem of chronic pelvic pain. Results: All of the study cohort patients complained of chronic pelvic pain lasting for at least 6 months. In 4 cases the uterus was enlarged (up to 18 weeks of gestation). In addition, foci of endometriosis (as well as endometrioma in one case) were found in 2 cases. Twelve (12) women underwent hysterectomies and became asymptomatic, whil...

Effect of Interventions on Prescribing of Antimicrobials for Prophylaxis in Obstetric and Gynecologic Surgery

The effect of interventions on the conformity of physicians with guidelines for the appropriate use of antimicrobial prophylaxis in obstetric and gynecologic surgery is reported. Guidelines on the appropriate use of antimicrobial prophylaxis in common obstetric and gynecologic surgical procedures were developed in late 1986 by the antibiotic subcommittee at a 1100-bed tertiary-care teaching facility. The guidelines were not adopted immediately by the department of obstetrics and gynecology (OB-GYN). An audit of the medical records of women who had received antimicrobial therapy for abdominal and vaginal hysterectomies and emergency cesarean sections during January through March 1987 showed that cefoxitin was used in 68% of the cases instead of the less expensive and equally efficacious cefazolin as recommended in the guidelines. The projected annual cost of this nonconformity was $26,500. After the subcommittee informed the physicians about the guidelines and the audit results, the OB-GYN department adopted the guidelines. A second audit performed one year later showed that cefazolin was used in the recommended manner in 93% of cases; projected annual cost savings were $25,000. Both audits showed that prophylactic treatment was inappropriately prolonged in 6% of cases. Substantial cost savings were realized by minimizing inappropriate antimicrobial drug use through efforts to promote rational and cost-effective therapy.

Effect of interventions on prescribing of antimicrobials for prophylaxis in obstetric and gynecologic surgery

The effect of interventions on the conformity of physicians with guidelines for the appropriate use of antimicrobial prophylaxis in obstetric and gynecologic surgery is reported. Guidelines on the appropriate use of antimicrobial prophylaxis in common obstetric and gynecologic surgical procedures were developed in late 1986 by the antibiotic subcommittee at a 1100-bed tertiary-care teaching facility. The guidelines were not adopted immediately by the department of obstetrics and gynecology (OB-GYN). An audit of the medical records of women who had received antimicrobial therapy for abdominal and vaginal hysterectomies and emergency cesarean sections during January through March 1987 showed that cefoxitin was used in 68% of the cases instead of the less expensive and equally efficacious cefazolin as recommended in the guidelines. The projected annual cost of this nonconformity was $26,500. After the subcommittee informed the physicians about the guidelines and the audit results, the OB-GYN department adopted the guidelines. A second audit performed one year later showed that cefazolin was used in the recommended manner in 93% of cases; projected annual cost savings were $25,000. Both audits showed that prophylactic treatment was inappropriately prolonged in 6% of cases. Substantial cost savings were realized by minimizing inappropriate antimicrobial drug use through efforts to promote rational and cost-effective therapy.

Significance of early laboratory diagnosis for obstetrical procedures in severe gestoses and the HELLP syndrome

HELLP syndrome is a severe complication of preeclampsia, incalculable in its course and involving high risk for mother and fetus. Over a period of three years and eight months a total of 24 patients with HELLP syndrome were treated at Göttingen University Gynecological Clinic and the Gynecological Clinic of Munich Technical University. In all cases the correct diagnosis had already been made by the referring physician or by the obstetrician on admission, taking laboratory parameters into account. The chief clinical symptom was upper abdominal pain, All of the patients presented with thrombocytopenia and elevated liver enzymes. The signs of hemolysis derived from the increased bilirubin concentrations and the LDH; in 13 cases fragmentocytes were detected in the peripheral blood smear. No indications of a pronounced DIG were found. The mean time elapsed between hospitalization and delivery was six hours (0.5-40 hours); 22 patients were delivered within 24 hours. Cesarean section was performed in all cases. The mean gestational age at the time of birth was 35 weeks (25-38). Three of 24 children died prepartially; with the surviving infants no major problems arose in the postnatal course. In 19 cases the abdominal cesarean delivery and clinical course were without complications. Reoperation, in two cases combined with a puerperal hysterectomy, was necessary in three patients, due to subfascial and intraperitoneal or retroperitoneal hematomas.(ABSTRACT TRUNCATED AT 250 WORDS)

Effect of Antibiotics Therapy Following Abdominal Cesarean Section on Leukocyte Picture

Effect of Antibiotics Therapy Following Abdominal Cesarean Section on Leukocyte Picture

A Case of Menstrual Fistula on the Abdominal Wall following an Abdominal Cesarean Section

A Case of Menstrual Fistula on the Abdominal Wall following an Abdominal Cesarean Section

A Case Report of Menstrual Fistula on the Abdominal Wall Developed following an Abdominal Cesarean Section

A Case Report of Menstrual Fistula on the Abdominal Wall Developed following an Abdominal Cesarean Section

腹式帝王切開術の統計的観察

腹式帝王切開術の統計的観察

Abdominal cesarean section at the Cleveland Maternity Hospital

A series of 1,317 cases of abdominal cesarean section operated upon between the years 1932 and 1941 has been studied. This study included mortality and morbidity, the causes of morbidity and other considerations.

An Analysis of 220 Cases of Abdominal Cesarean Sections

An Analysis of 220 Cases of Abdominal Cesarean Sections

Abdominal cesarean sectins in Detroit in 1930

Abdominal cesarean sectins in Detroit in 1930

Maternal Mortality in 582 Abdominal Cesarean Sections

Maternal Mortality in 582 Abdominal Cesarean Sections

Abdominal Caesarean Section

Abdominal Caesarean Section