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[Wound rupture after Misgav-Ladach cesarean section: a case report]
H S Scholz1, E Petru, K Tamussino
1Klinische Abteilung für allgemeine Gynäkologie und Geburtshilfe der Geburtshilflich-gynäkologischen, Universitätsklinik Graz, Auenbruggerplatz 14, AT-8036 Graz, Austria. heinz.scholz@uni-graz.at
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.