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[Modification of extraperitoneal cesarean section in the prevention of infection]
1UMC, Ginekolosko akuserska klinika Sarajevo.
The application of cesarean section is increasing, because the indications for it have been expanded. As the introduction of antibiotics has not been solved, the problem of abdominal cavity infections which is opening in the course of transperitoneal cesarean section. Therefore the requirement of repeated introduction of extraperitoneal cesarean section by which the abdominal cavity is not opened but the technique of operation is somewhat more complicated. In order to simplify the operation we have introduced the infiltration of physiological solution under the band of bladder because of easier separation from bladder, as this is the greatest problem in the operative procedure. The urachus is not cut but is released and mobilized in that way the bladder can be moved aside from the lower uterine segment, on which the cross section is done and in that way the possibility of damage of bladder and of the opening of peritoneal cavity is reduced. By this technique we operated 16 cases. The operative and postoperative course passed normally.
The application of cesarean section is increasing, because the indications for it have been expanded. As the introduction of antibiotics has not been solved, the problem of abdominal cavity infections which is opening in the course of transperitoneal cesarean section. Therefore the requirement of repeated introduction of extraperitoneal cesarean section by which the abdominal cavity is not opened but the technique of operation is somewhat more complicated. In order to simplify the operation we have introduced the infiltration of physiological solution under the band of bladder because of easier separation from bladder, as this is the greatest problem in the operative procedure. The urachus is not cut but is released and mobilized in that way the bladder can be moved aside from the lower uterine segment, on which the cross section is done and in that way the possibility of damage of bladder and of the opening of peritoneal cavity is reduced. By this technique we operated 16 cases. The operative and postoperative course passed normally.