Extraperitoneal cesarean section: the place of the operation in the world and in Russian obstetrics


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Resumo

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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Sobre autores

Vladislav Krasnopolsky

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

MD, professor, Academician of RAS, President

Andrey Melnikov

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

Email: promell980@yandex.ru
PhD, senior research fellow of physiologic obstetric department

Vasily Petrukhin

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

Email: petruhin@mail.ru
MD, professor, Director

Romella Karamyan

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology

Email: romikaramyan@mail.ru
medical resident

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