USPOREDBA PERIOPERACIJSKIH REZULTATA TEHNIKE CARSKOG REZA "MISGAV LADACH" S KLASIČNOM METODOM PO PFANNENSTIELU

A prospective randomized trial of 111 women undergoing caesarean section was carried out in the Pula General Hospital. 49 operations were performed by the Pfannenstiel method of caesarean section, 55 by the “Misgav Ladach” method and 7 by lower midline laparotomy. It was proved that the cases where the “Misgav Ladach” method was implemented, compared to the Pfannenstiel method, showed a significantly shorter delivery/extraction and operative time (p=0.0009), the incision pain in the second postoperative day was significantly lower (0.021), we recorded a quicker stand up and walking (p=0.013), significantly less analgesic injections and a shorter duration of analgesia were required (p=0.0009) and the bowel function was sooner recovered (p=0.001). The “Misgav Ladach” method of caesarean section has advantages over the Pfannenstiel method by being significantly quicker to perform, with diminished postoperative pain and less use of postoperative analgesics. The recovery of physiologic functions is faster. No differences were found in intraoperative bleeding, mother morbidity, scar appearance, uterus postoperative involution and the assessment of the inflammation response to the operative technique.