Making the Cut: Does C-Section Incision Type Matter?

Making-the-CutSome Caesarian section surgeries just happen because there was an urge. And some of them go as a plan due to certain pregnancy issues. In any way it is a serious intervention. It does help your child to come into this world, but it still is a full on abdominal surgery and we should not forget about it. Implications happen as with any other major surgery. Consider the ways the incision can be conducted and study the ways to go about the operation.

Making the Incision Decision C-sections have been on the rise globally for some time now. These days stats say that one third of women to deliver are undergoing the Caesarian.
Ways of making skin incisions and ways to open the abdominal muscle wall have improved over the years. Discussion and confusion on what is actually the safest still remain.
The person picking the cut is the doctor himself.

Fetus’ as well as mother’s condition is monitored continuously during baby’s delivery. Patient has little say about her own preferences, nor is she informed of her options concerning how the incision is performed. Yet incision type can profoundly affect the mother’s physical, emotional and psychological health, postpartum. Some ways in which the way the surgery is performed impact mother’s health include:

  • Post C-Section pains: acute and lasting
  • Damage to neural bodies at the incision site
  • Cosmetic abdominal damage
  • Desire to have subsequent pregnancies

Because a C-section has long term effects on the mother, she has the right to be informed about the procedure, and to have a stake in decision-making about which technique is best. Moreover, surgeons should take the patient’s long-term health into consideration when deciding on an incision method. Comparing the Effects of

Common Incision Types

While there are many ways a C-Section is performed, two in particular are most frequently used:
Pfannenstiel technique (famous as Kerr’s or bikini cut): a horizontal opening is made three centimeters above the cartilaginous junction joining pupic bones.
Misgav-Ladach in its own turn implies an incision at about three centimeters below the anterior superior iliac spine.

In a recent literature review, Gizzo et al. namely in 2015 sought to consider and put side by side the aftermath that came along after both methods used.
Gizzo viewed the postoperative implications in particular.

Having watched females who went through postpartum rehabilitation and the C-surgery consequences (both: right after the surgery and in years to come), the group of scientific researchers have concluded that The Pfannenstiel method caused much bigger need for anesthesia, longer recuperation period and greater complication risk.
This technique accesses all abdominal layers, including skin, subcutaneous tissue, even fascia.

Misgav-Ladach incision, made in the midline eliminated or greatly reduced nerve or anatomical damage.
Post surgery bleeding rates, adhesions risk, fibrosis are only a few complications of many that come as consequences of Pfannenstiel technique. A woman also risks getting continuous low stomach pain syndrome for years to come.

Medical science considers Misgav-Ladach method safer as well as much more appropriate, despite the cosmetic issues it implies. Mothers who had Caesarian deliveries through vertical incision were more likely to desire future pregnancies. Postpartum Care in NYC Pregnancy, childbirth and C-sections place a great deal of strain on mother’s body, they are likely to have long-term effects on her health too. However, with proper postpartum care and appropriate exercises, many women get chances to recover with few to no repercussions.

Postpartum specialists

NYDNRehab help women to recuperate after the childbirth, to restore both form and function. If you are planning to become pregnant, are currently expecting, or have recently given birth, we can help you to achieve great physical condition for your long term benefit.



In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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