Laparoelytrotomy--a case report.

A.H., a 33 year old primigravid woman, was at 38 week’s gestation. She had myomectomy two years ago. When she was hospitalized for delivery, it was seen that the cervix was completely dilated. The vertex was at +1 station in the left anterior position. Because of the past myomectomy history and foetal distress we decided to perform a caesarean section. The phannenstiel incision was accomplished to enter the abdomen. The peritoneal cavity was entered. After retraction of the bladder, the vagina over the foetal vertex had a ballooned out, shiny appearance. The vagina was entered through a transverse incision under retracted cervix. The foetal head was taken out from bony pelvis and a 50 cm, 3200 g, male infant was delivered through the vaginal incision. The baby was in a good condition with 7 apgar. The operation area was carefully observed. The vaginal incision was closed in two layers with continued vicryl. The bladder was approximated over the incision. She had 800.000 U of procain penicillin two times a day and 80 mg gentamycin three times a day for five days. After a benign postoperative course, she and the infant were discharged home on the fifth postoperative day. The patient was seen at the time of 6 week postpartum check, the vaginal incision was established well healed, only a minimal scar.