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Updated: Feb 7, 2026

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Fetus delivery time in extraperitoneal versus transperitoneal cesarean section: a randomized trial
Omer E Yapca1, Yunus E Topdagi1, Ragip A Al1
1Department of Obstetrics and Gynecology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Summary
Extraperitoneal cesarean section and transperitoneal cesarean section show no significant difference in fetal delivery time. However, extraperitoneal cesarean reduces postoperative pain and improves recovery.
Area of Science:
- Obstetrics and Gynecology
- Surgical Procedures
Background:
- Cesarean sections are common surgical procedures.
- Comparing surgical approaches is crucial for optimizing patient outcomes.
Purpose of the Study:
- To compare extraperitoneal cesarean section with transperitoneal cesarean section regarding fetal delivery time.
- To evaluate secondary outcomes including pain, recovery, and neonatal results.
Main Methods:
- A randomized study of 210 pregnant women undergoing elective or repeat cesarean sections.
- Primary outcome: skin incision-to-delivery time. Secondary outcomes: operation time, pain, recovery metrics, and neonatal outcomes.
Main Results:
- No significant difference in skin incision-to-delivery time between the two cesarean approaches (p=0.065).
- The extraperitoneal group showed significant improvements in intraoperative and postoperative pain, total operation time, analgesic needs, and oral tolerability.
Conclusions:
- Extraperitoneal cesarean section is comparable to transperitoneal cesarean section for fetal delivery speed.
- Extraperitoneal cesarean section offers advantages in reduced postoperative pain, lower analgesic requirements, and better oral tolerability.
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