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  • Caesarian Section

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    Nephy Tsd
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    The document discusses two types of caesarean section - classical or upper segment caesarean section and lower segment caesarean section. Classical caesarean section involves a paramedian skin incision extending above the umbilicus and has indications for when the lower segment approach is difficult or risky. However, it is associated with more blood loss, imperfect apposition of margins, and increased risks of hemorrhage, shock, peritonitis, morbidity and mortality compared to the lower segment approach.

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    caesarian section

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    The document discusses two types of caesarean section - classical or upper segment caesarean section and lower segment caesarean section. Classical caesarean section involves a paramedian skin incision extending above the umbilicus and has indications for when the lower segment approach is difficult or risky. However, it is associated with more blood loss, imperfect apposition of margins, and increased risks of hemorrhage, shock, peritonitis, morbidity and mortality compared to the lower segment approach.

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    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PPTX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    70 просмотров14 страниц

    Caesarian Section

    Загружено:

    Nephy Tsd
    The document discusses two types of caesarean section - classical or upper segment caesarean section and lower segment caesarean section. Classical caesarean section involves a paramedian skin incision extending above the umbilicus and has indications for when the lower segment approach is difficult or risky. However, it is associated with more blood loss, imperfect apposition of margins, and increased risks of hemorrhage, shock, peritonitis, morbidity and mortality compared to the lower segment approach.

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PPTX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 14

    CAESAREAN SECTION-TYPES

    ByDr. NEPHY T.S DHARSHINI

    TYPES

    Classical or upper segment caesarean section

    Lower segment caesarean section

    CLASSICAL CAESAREAN SECTION

    INDICATIONS


    a. b. a. b. c. d.

    Lower segment approach is difficult Dense adhesions due to previous abdominal operation Severe contracted pelvis Lower segment approach is risky Big fibroid on lower segment carcinoma cervix Repair of difficult and high VVF Severe degree of placenta praevia with engorged veins in lower segment Postmortem section

    TECHNIQUE

    ANESTHESIA
    Regional (epidural) anaesthesia

    SKIN INCISION
    Paramedian incision about 15cm in length 1/3rd extending above the umbilicus

    DEMERITS
    Blood loss is more Apposition of margins is not perfect In post op , there is in hemorrhage and shock chance of peritonitis morbidity and mortality Scar is weak, more risk of scar rupture in future pregnancy

    MERITS
    Technically easy. Safer in transverse lie and placenta praevia

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