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Scholz, HS; Petru, E; Tamussino, K; Winter, R.
Wound rupture after Misgav-Ladach cesarean section: a case report
Gynakol Geburtshilfliche Rundsch. 2004; 44(4): 238-239. Doi: 10.1159/000079715 (- Case Report)
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Leading authors Med Uni Graz
Scholz Heinz
Co-authors Med Uni Graz
Petru Edgar
Tamussino Karl
Winter Raimund
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Abstract:
INTRODUCTION: We describe a patient with wound rupture and burst abdomen after cesarean section with the Misgav-Ladach technique. CASE REPORT: A 33-year-old woman underwent primary cesarean section at 36 + 5 weeks gestation for a fetal indication. The procedure was done according to the Misgav-Ladach technique, i.e. the uterus was closed with a one-layer continuous locking stitch and the visceral and parietal peritoneal layers were left open. The rectus sheath was stitched with a continuous nonlocking stitch, the skin was closed with a continuous intracutaneous suture. On the seventh postoperative day, omentum was seen extruding from the skin incision. Reexploration showed that the suture of the rectus sheath had ruptured. The further postoperative course was uneventful. CONCLUSION: Although no general recommendations can be deduced from a single case, further reports on any complications of this technique will show whether it is as safe as believed until now.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Cesarean Section - methods
Female - methods
Humans - methods
Infant, Newborn - methods
Peritoneum - surgery
Pregnancy - surgery
Rectus Abdominis - surgery
Reoperation - surgery
Rupture, Spontaneous - surgery
Surgical Wound Dehiscence - etiology

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