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Int J Gynaecol Obstet. 2001 Feb;72(2):135-43.

Can Joel-Cohen incision and single layer reconstruction reduce cesarean section morbidity?

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  • 1Department of Obstetrics and Gynecology, University of Milan, Milan, Italy.

Abstract

OBJECTIVE:

To compare an innovative cesarean section based on Joel-Cohen incision with the traditional Pfannenstiel technique in terms of operative data and post-operative recovery.

METHOD:

Out of 158 randomized patients, 83 patients underwent the innovative cesarean section (Joel-Cohen incision, one-layer locked uterine suture, no peritoneization) and 75 the traditional operative approach (Pfannenstiel incision, double layer closure of the uterus, visceral and parietal peritoneization). Operative data and post-operative morbidity were compared; sample size was calculated to detect a 13% difference in the occurrence of post-operative fever with a statistical power of 80%.

RESULT:

Post-operative fever was not different in the two groups. Total operating time was shorter with the innovative technique: 31.6 +/-1.38 min vs. 44.4+/-1.44 (P=0.0001) and fewer sutures were used: 3.6+/-0.13 vs. 6+/-0.13 (P=0.001). Patients operated by the new technique began moving sooner and intestinal function restarted earlier.

CONCLUSION:

The proposed technique made for shorter operating times and faster recovery but no decrease in puerperal morbidity.

PMID:
11166746
[PubMed - indexed for MEDLINE]
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