BACKGROUND Placenta percreta is a life-threatening condition that places patients at risk of massive bleeding. It necessitates very complicated surgery and can result in mortality. Caesarean hysterectomy is the accepted procedure worldwide; however, recent studies discussing conservative treatment with segmental resections have been published. Foetal extraction and segmental resection can be pe...

BACKGROUND Prophylactic antibiotics are used to prevent postoperative infections after caesarean section. Studies have suggested that the timing of prophylaxis plays an important role. Over the years, the role of the anaesthesiologist in the administration of prophylactic antibiotics has become prominent. Therefore, there is an increasing need for anaesthesia providers to understand the rationa...

objective: the purpose of this study was to investigate the incidence, type, location, and risk factors of accidental fetal lacerations during caesarean delivery. material and methods: total deliveries, caesarean deliveries, and neonatal records for documented accidental fetal lacerations were reviewed retrospectively in four university hospital. thegestational age, the presenting part of the f...

Caesarean section is a common operation and the best postoperative outcomes are desired. Surgical techniques have been devised or modified to reduce operative and post operative discomfort. Many studies have evaluated or compared the Joel-Cohen abdominal incision with Pfannenstiel incision and found the former to be superior for various reasons such as less postoperative febrile morbidity, less...

OBJECTIVE To compare the effectiveness of antibiotic prophylaxis before skin incision with that after umbilical cord clamping in elective caesarean delivery. METHODS We conducted a randomized open-label controlled trial with two parallel arms at three hospitals in western China. Participants meeting the inclusion criteria received antibiotics 30-60 minutes before skin incision while others re...

BACKGROUND Since in caesarean operations skin incision to delivery time is very short, induction agent could be still effective on BIS level till the time of delivery. Therefore this study was designed to analyze the effect on maintaining adequate bispectral index levels till delivery of neonate of propofol and thiopental as an induction agent for caesarean section. METHODS Eighty two patient...

We report the case of a 33-year-old female who presented with endometriosis of the anterior abdominal wall following Caesarean Section at the surgical incision site. Abdominal Incisional Site Endometriosis can pose a diagnostic dilema owing to its relative rarity and vagueosity of symptoms, vis-a-vis, cyclical abdominal pain and occasional palpable mass associated with menstruation. A greater i...

The effects of extradural and general anaesthesia on the adrenocortical response to elective or emergency Caesarean section were studied in 72 patients. Maternal plasma concentrations of cortisol were measured before surgery, at delivery, and 30 and 60 min after skin incision. Umbilical vein and artery plasma cortisol concentrations at delivery were determined also. Maternal plasma cortisol con...

Introduction: Late postpartum hemorrhage following a Caesarean section (CS) is uncommon. A partial or complete dehiscence of the lower segment CS incision is a rare but possible cause. Case: A 33-year-old woman underwent a lower segment CS for chorioamnionitis and failure to progress in labour at 40 weeks and 5 days of gestation. On the 43rd postpartum day, she developed heavy vaginal bleeding....