comparison of misgav-ladach and pfannenstiel-kerr techniques for cesarean section: a randomized controlled trial study

results the duration of surgery and fetus delivery was significantly lower in ml than pk technique (p = 0.000). analgesic use during the post-operative period was significantly lower in ml than pk (p < 0.001). there were no significant statistical differences between the groups in regards to drop of the hematocrit (p = 0.32), fever (p = 0.056) and bowel transit time (p = 1.000). the mean apgar score of fifth minute was 8.80 ± 0.57 and 9.89 ± 0.42 in pk and ml groups, respectively (p < 0.001). conclusions misgav-ladach appears to be faster, requires shorter incision and less analgesic drugs than pk, which might lead to better postoperative outcomes. background cesarean section is one of the most common surgeries around the world. there are several different techniques for cesarean section. the most common techniques are pfannenstiel-kerr (pk) and the newer technique misgav-ladach (ml). the objective of this trial was to compare intraoperative and short-term postoperative outcomes between the pfannenstiel-kerr and the modified misgav-ladach techniques in primary cesarean deliveries. methods in a prospective controlled trial, 100 females were randomly assigned to the pk (n = 50) and ml (n = 50) groups. the two groups were compared in terms of duration of surgery and fetus delivery, blood transfusion, febrile morbidity, analgesic use, changes of hematocrit level, bowel transition time, wound infection /dehiscence and neonate five-minute apgar score.