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The Pelosi cesarean delivery technique
Marco A Pelosi1, Marco A Pelosi1
1Pelosi Medical Center, Bayonne, NJ.
American Journal of Obstetrics and Gynecology
|January 4, 2026
Summary
The Pelosi simplified cesarean technique and Mobius retractor offer a minimally invasive alternative to traditional cesarean delivery. This approach reduces operative time, complications, and costs while improving patient recovery.
Area of Science:
- Obstetrics and Gynecology
- Minimally Invasive Surgery
Background:
- Cesarean delivery is a common major surgery in the US.
- The traditional Pfannenstiel technique is standard but relies on extensive dissection.
- Minimally invasive alternatives are being explored to improve outcomes.
Purpose of the Study:
- To review the procedural steps of the Pelosi simplified cesarean technique.
- To highlight advancements in cesarean delivery using the Pelosi technique and Mobius retractor.
- To address limitations of the traditional Pfannenstiel method.
Main Methods:
- Limited subcutaneous and rectus fascia division.
- Blunt midline rectus muscles separation and digital peritoneal entry.
- Utilizing the OB/Mobius Elastic Abdominal Retractor for enhanced exposure.
Main Results:
- Reduced operative time, complications, and costs.
- Improved patient recovery compared to traditional methods.
- Minimized dissection and eliminated unnecessary surgical steps.
Conclusions:
- The Pelosi technique and Mobius retractor represent a strategic shift in cesarean delivery.
- These innovations offer a more efficient and less invasive surgical approach.
- Clinical studies indicate improved outcomes and patient recovery.
