Mimić B
UMC, Ginekolosko akuserska klinika Sarajevo.
Med Arh. 1990;44(1):23-5.
The application of cesarean section is increasing, because the indications for it have been expanded. As the introduction of antibiotics has not been solved, the problem of abdominal cavity infections which is opening in the course of transperitoneal cesarean section. Therefore the requirement of repeated introduction of extraperitoneal cesarean section by which the abdominal cavity is not opened but the technique of operation is somewhat more complicated. In order to simplify the operation we have introduced the infiltration of physiological solution under the band of bladder because of easier separation from bladder, as this is the greatest problem in the operative procedure. The urachus is not cut but is released and mobilized in that way the bladder can be moved aside from the lower uterine segment, on which the cross section is done and in that way the possibility of damage of bladder and of the opening of peritoneal cavity is reduced. By this technique we operated 16 cases. The operative and postoperative course passed normally.
剖宫产的应用正在增加，因为其指征已经扩大。由于抗生素的引入问题尚未解决，经腹剖宫产术中打开腹腔会出现腹腔感染问题。因此，对再次引入腹膜外剖宫产的需求增加，该术式不打开腹腔，但手术技术略显复杂。为了简化手术，我们采用在膀胱带下方注入生理盐水的方法，因为这样更容易与膀胱分离，这是手术过程中最大的问题。不切断脐尿管而是将其松解并游离，这样膀胱就可以从子宫下段移开，在此处进行横切口，从而降低膀胱损伤和腹腔开放的可能性。我们用这种技术进行了16例手术。手术及术后过程均正常。
