Clinical Studies

C-Section

Surgical site infection in cesarean sections with the use of plastic sheath wound retractor compared to the traditional self-retaining metal retractor

Published: European Journal of Obstetrics & Gynecology and Reproductive Biology; 2016 August
Authors: Hinkson L, Siendentopf J-P, Weichert A, Henrich W
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."
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Effects of method of uterine repair on surgical outcome of cesarean delivery

Published: International Journal of Gynecology and Obstetrics; 2010 November
Authors: Doganay M, Tonguc EA, Var T
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."
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Complications of Exteriorized Compared With In Situ Uterine Repair at Cesarean Delivery Under Spinal Anesthesia: A Randomized Controlled Trial

Published: Obstetrics and Gynecology; 2007 September
Authors: Siddiqui M, Goldszmidt E, Fallah S, Kingdom J, Windrim R, Carvalho JC
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."
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Influence of uterine exteriorization versus in situ repair on post-cesarean maternal pain: a randomized trial

Published: International Journal of Obstetric Anesthesia; 2007 April
Authors: Nafisi S.
Excerpt: "A prospective study of 260 women undergoing cesarean section delivery found that exteriorization of the uterus for repair significantly increased postoperative pain for the first and second night after delivery."
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