Comparison of visual analog pain scores of two different abdominal incisions for Cesarean section: A prospective randomized trial Sezaryende kullanılan iki farklı abdominal insizyon tekniğinin vizüel analog ağrı skorlarının karşılaştırılması: Prospektif randomize bir çalışma

Objectives: This study compared the Joel-Cohen and Pfannenstiel incisions for cesarean sections by using visual analog scale (VAS) scores and perioperative findings. Patients and Methods: One hundred pregnant patients were randomly assigned to one of two groups. One group had Joel-Cohen incisions and the other group had the standard Pfannenstiel incision, both by the same surgeon. Intraoperative and postperative findings including the VAS scores of the patients were recorded. Results: The median total operation time for the Joel-Cohen group was 1500 (1140-3600) seconds and was 1740 (1140-3600) seconds for the Pfannenstiel group. The mean extraction time of the fetus was shorter for the Joel-Cohen group (146.9±74.4 seconds) when compared to Pfannenstiel group (193.9±56.5 seconds). Postoperative pain assessment by VAS was similar for both groups. Conclusion: When urgent extraction of the fetus is needed the Joel-Cohen incision should be chosen for cesarean sections. In other cases, the Joel-Cohen incision technique has no advantage over the standard Pfannenstiel incision so far as postoperative pain is concerned