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[Comparative evaluation of the Joel-Cohen cesarean section versus the transrectal incision]
R Le Dû1, M Bernardini, A Agostini
1Service de gynécologie-obstétrique, CHU de Marseille, hôpital Nord, chemin des Bourelly, 13915 Marseille cedex 20, France. renaud.ledu@gmail.com
Objective:
The aim of this study was to compare the Joel-Cohen method for cesarean section to the traditional transrectal incision.
Method:
Fifty-two patients requiring a caesarean section were enrolled in this prospective study. Overall morbidity and post-operative pain was assessed. Four surgeons participated to this study, each included 13 patients. The main judgement criterion was post-operative pain on the first day.
Results:
Post-operative pain on the first day was less important (50 vs 23% p=0.04) in Joel-Cohen's. This method was shorter compared to the transrectal incision (33.6+6.4 min vs 51.2+8 min p<0.0001). There was no difference in overall morbidity between the two groups.
Conclusion:
Joel-Cohen's method decrease post-operative pain and is a shorter procedure compared to the transrectal incision.
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