Dŭrveniashki Kh, Dŭrveniashka I
Akush Ginekol (Sofiia). 1991;30(2):10-4.
The authors describe their experience in abdominal extraperitoneal section of 151 women. 37,986 deliveries occurred at the OG complex in the town of Ruse for the period of 1975-1985. 1,853 women (4.87%) delivered by cesarean section. 151 out of 1853 women delivered by cesarean section, using the method of Morozov. Indications on the side of the mother were found in 98 women (64.90%): protracted labour, weak and nonproductive labour activity with outpoured amniotic fluid accompanied by febrile states and signs for starting or present intrapartum infection, proven by laboratory parameters. Indications on the side of the mother and fetus were found in 53 women (35.09%) without signs of intrapartum infections. The results are very good. The operated women recover more quickly during the postoperative period. No venous administrations are needed, since women take orally fluids and food without limitations. The authors conclude that the abdominal extraperitoneal section presents greater advantages for the patient during the postoperative period. They do not think that it should be used as a routine method. It is more complex and has more requirements than the classical cesarean section. The abdominal extraperitoneal section has its place in the obstetric practice in women with intrapartum infection.
作者描述了他们对151名女性进行腹部腹膜外剖宫产的经验。1975年至1985年期间，鲁塞镇妇产科综合医院共发生37986例分娩。1853名女性（4.87%）接受了剖宫产。在1853名剖宫产女性中，有151名采用了莫罗佐夫方法。98名女性（64.90%）有母亲方面的指征：产程延长、宫缩乏力且无效、羊水流出伴有发热状态以及实验室指标证实的产时感染开始或存在的迹象。53名女性（35.09%）有母亲和胎儿方面的指征，但无产时感染迹象。结果非常好。接受手术的女性术后恢复更快。由于女性可无限制地口服液体和食物，无需静脉给药。作者得出结论，腹部腹膜外剖宫产在术后对患者具有更大优势。他们认为不应将其作为常规方法使用。它比经典剖宫产更复杂，要求更高。腹部腹膜外剖宫产在有产时感染的女性产科实践中有其应用价值。
