CLINICAL PRACTICE OF USING T. VEJNOVIC TECHNIQUE FOR SUTURE OF THE UTERUS AFTER CAESARIAN SECTION
- Авторлар: KABATIN N.A.1, KALININ V.V.1, SOROKINA A.L.1
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Мекемелер:
- Borsky Central City Hospital
- Шығарылым: № 1 (2021)
- Беттер: 88-93
- Бөлім: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/249213
- DOI: https://doi.org/10.18565/aig.2021.L88-93
- ID: 249213
Дәйексөз келтіру
Аннотация
Objective. To improve the outcomes of cesarean section using T. Vejnovic technique for suturing of the uterus after caesarean section. Materials and methods. The study included 220 women who underwent caesarean section to deliver their babies. They were divided into 3 groups: group 1 - the patients who had ceasarean section with the Pfannenstiel-Kerr technique; group 2 - the patients who had ceasarean section with M. Stark modified technique based on the Joel-Cohen incision; group 3 - the patients who had ceasarean section with M. Stark technique based on the Joel-Cohen incision, using T. Vejnovic modified uterine suture technique. Intraoperative blood loss, operative duration, early postoperaive complications, the presence of an isthmocele 6 months after surgery and residual myometrial thickness were assessed. Results. The lowest rate of isthmocele formation was 9% (n=5) in group 3, where T.Vejnovic technique was used to restore the uterine wall integrity. The myometrium thickness of 7.9 (0.25) mm in the area of postoperative scar after previous cesarean section was significantly larger compared to group 1 5.6 (1.94) mm (p=0,01), and group 2: 4.7(2.37) mm (p=0.005). Conclusion. To preserve the normal thickness of uterine walls during cesarean section, T. Vejnovic modified uterine suture technique proved to be more effective compared to single-row and double-row suturing with no statistically significant differences in reduction in the incidence of isthmocele (niche).
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Авторлар туралы
Nikolay KABATIN
Borsky Central City Hospital
Email: onlybones@yandex.ru
Ph.D., obstetrician-gynecologist of the Department of Obstetrics, Perinatal Center Nizhny Novgorod region, Bor, Russia
Vitalii KALININ
Borsky Central City Hospital
Email: vikalinin77@mail.ru
Ph.D., Head of the Department of Obstetrics, Perinatal Center Nizhny Novgorod region, Bor, Russia
Anna SOROKINA
Borsky Central City Hospital
Email: perenat@crb-bor.ru
Head of Perinatal Center Nizhny Novgorod region, Bor, Russia
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