Belci D, Kos M, Zoricić D, Kuharić L, Slivar A, Begić-Razem E, Grdinić I
General Hospital, Pula, Croatia.
Minerva Ginecol. 2007 Jun;59(3):231-40.
The aim of this study was to evaluate the advantages of the Misgav Ladach surgical technique compared to traditional cesarean section.
A prospective randomized trial of 111 women undergoing cesarean section was carried out in the Pula General Hospital. Forty-nine operations were performed using the Pfannenstiel method of cesarean section, 55 by the Misgav Ladach method and 7 by lower midline laparotomy.
It was proved that the cases where the Misgav Ladach method was implemented, compared to the Pfannenstiel method, showed a significantly shorter delivery/extraction and operative time (P=0.0009), the incision pain on the second postoperative day was significantly lower (0.021), we recorded a quicker stand up and walking time (P=0.013), significantly fewer analgesic injections and a shorter duration of analgesia were required (P=0.0009) and the bowel function was restored to normal sooner (P=0.001).
The Misgav Ladach method of cesarean section has advantages over the Pfannenstiel method in so far as it is significantly quicker to perform, with diminished postoperative pain and less use of postoperative analgesics. The recovery of physiologic function is faster. No differences were found in intraoperative bleeding, maternal morbidity, scar appearance, uterus postoperative involution and the assessment of the inflammation response to the operative technique.
本研究旨在评估米斯加夫·拉达赫手术技术相较于传统剖宫产术的优势。
在普拉总医院对111例行剖宫产术的女性进行了一项前瞻性随机试验。49例手术采用剖宫产的耻骨联合上横切口法，55例采用米斯加夫·拉达赫法，7例采用下腹部正中剖腹术。
事实证明，与耻骨联合上横切口法相比，采用米斯加夫·拉达赫法的病例分娩/取出及手术时间显著缩短（P = 0.0009），术后第二天的切口疼痛显著减轻（0.021），站立和行走时间更快（P = 0.013），镇痛注射次数显著减少，镇痛持续时间更短（P = 0.0009），肠功能恢复正常更快（P = 0.001）。
米斯加夫·拉达赫剖宫产术比耻骨联合上横切口法具有优势，因为其手术速度明显更快，术后疼痛减轻，术后镇痛药使用更少。生理功能恢复更快。术中出血、产妇发病率、瘢痕外观、子宫术后复旧以及对手术技术的炎症反应评估方面未发现差异。
