Extraperitoneal cesarean section: the place of the operation in the world and in Russian obstetrics
- Authors: Krasnopolsky V.I.1, Melnikov A.P.1, Petrukhin V.A.1, Karamyan R.A.1
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Affiliations:
- Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
- Issue: No 9 (2020)
- Pages: 11-17
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/329502
- DOI: https://doi.org/10.18565/aig.2020.9.11-17
- ID: 329502
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Abstract
The place of extraperitoneal cesarean section (EPCS) in modern operative obstetrics is undeservedly forgotten. It is especially relevant to use this procedure in patients at high risks for pyoseptic complications, which reduces postoperative infectious complications and the need for prolonged antibiotic therapy, and also promotes early postoperative recovery. EPCS cannot completely replace cesarean section. Currently, it is possible to choose the optimal procedure for EPCS. With sufficient surgical skills, EPCS does not differ in complexity from the classical peritoneal cesarean section. Even in the era of antibacterial drugs, the EPCS procedure should be used by practitioners. Conclusion. EPCS has its own indications and contraindications and should be performed when it is more appropriate than the traditional cesarean section.
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About the authors
Vladislav I. Krasnopolsky
Moscow Regional Scientific Research Institute of Obstetrics and GynecologyMD, professor, Academician of RAS, President
Andrey P. Melnikov
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Email: promell980@yandex.ru
PhD, senior research fellow of physiologic obstetric department
Vasily A. Petrukhin
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Email: petruhin@mail.ru
MD, professor, Director
Romella A. Karamyan
Moscow Regional Scientific Research Institute of Obstetrics and Gynecology
Email: romikaramyan@mail.ru
medical resident
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