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

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

  • 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 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 sto 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 no repercussions.

    Postpartum specialists

    NYDNRehab help women to achieve great physical condition for your long term benefit.

     

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    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)

    image

    Complete tear of rectus femoris
    with large hematoma (blood)

    image

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

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