Clinical Studies


Surgical Site Infection in Cesarean Sections with the Use of a Plastic Sheath Wound Retractor Compared to the Traditional Self-Retaining Metal Retractor

Excerpt: “[T]he use of plastic-sheath wound retractors such as the Alexis® O C-Section Retractor compared to the traditional Collins self-retaining metal retractor in low risk women, having the first cesarean is associated with a significantly reduced risk of surgical site infection. There is significant reduction in the use of electric cautery for subcutaneous bleeding, bowel handling and postoperative pain. Operator satisfaction is improved and postoperative pain is less. . . .”

Reference: Hinkson L, Siedentopf JP, Weichert A, Henrich W. Surgical site infection in cesarean sections with the use of a plastic sheath wound retractor compared to the traditional self-retaining metal retractor. Eur J Obstet Gynecol Reprod Biol. 2016;203:232-238. doi:10.1016/j.ejogrb.2016.06.003

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Effects of Methods of Uterine Repair on Surgical Outcome of Cesarean Delivery

Excerpt: “We found the operating time and the time to return of bowel function to be shorter, and the rates of uterine atony, wound infection, and request for additional postoperative analgesics to be lower, among patients who underwent uterine repair in situ rather than extra-abdominally. . . .”

Reference: Doganay M, Tonguc EA, Var T. Effects of method of uterine repair on surgical outcome of cesarean delivery. Int J Gynaecol Obstet. 2010;111(2):175-178. doi:10.1016/j.ijgo.2010.06.009

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Complications of Exteriorized Compared With In Situ Uterine Repair at Cesarean Delivery Under Spinal Anesthesia: A Randomized Controlled Trial

Excerpt: “Exteriorization of the uterus for repair is associated with an increased incidence of nausea and vomiting and tachycardia during cesarean delivery under spinal anesthesia. Uterine repair should be done in situ where possible.”

Reference: Siddiqui M, Goldszmidt E, Fallah S, Kingdom J, Windrim R, Carvalho JC. Complications of exteriorized compared with in situ uterine repair at cesarean delivery under spinal anesthesia: a randomized controlled trial. Obstet Gynecol. 2007;110(3):570-575. doi:10.1097/01.AOG.0000277712.67230.22

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Influence of Uterine Exteriorization Versus In Situ Repair on Post-Cesarean Maternal Pain: A Randomized Trial

Excerpt: “This prospective study included 206 women who underwent cesarean delivery . . . Exteriorization of the uterus for repair of the uterine incision increases the first- and second-night post-operative pain significantly. . .”

Reference: Nafisi S. Influence of uterine exteriorization versus in situ repair on post-Cesarean maternal pain: a randomized trial. Int J Obstet Anesth. 2007;16(2):135-138. doi:10.1016/j.ijoa.2006.10.009

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