Extraperitonеal cesarean section: the place of the operation in the world and in Russian obstetrics
The place of extraperitoneal cesarean section (EPCS) in modern operative obstetrics is undeservedly forgotten. It is especially relevant to use this procedure in patients at high risks for pyoseptic complications, which reduces postoperative infectious complications and the need for prolonged antibiotic therapy, and also promotes early postoperative recovery. EPCS cannot completely replace cesarean section. Currently, it is possible to choose the optimal procedure for EPCS. With sufficient surgical skills, EPCS does not differ in complexity from the classical peritoneal cesarean section. Even in the era of antibacterial drugs, the EPCS procedure should be used by practitioners.Krasnopolsky V.I., Melnikov A.P., Petrukhin V.A., Karamyan R.A.
Conclusion. EPCS has its own indications and contraindications and should be performed when it is more appropriate than the traditional cesarean section.
Keywords
extraperitoneal cesarean section
cesarean section
References
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Received 16.04.2020
Accepted 21.08.2020
About the Authors
Vladislav I. Krasnopolsky, MD, professor, Academician of RAS, President of Moscow Regional Scientific Research Institute of Obstetrics and Gynecology.ORCID: 0000-0001-7041-9024. 101000, Russia, Moscow, Pokrovka st., 22A.
Andrey P. Melnikov, PhD, senior research fellow of physiologic obstetric department, Moscow Regional Scientific Research Institute of Obstetrics and Gynecology.
E-mail: promel1980@yandex.ru. ORCID: 0000-0002-74269040-2203. 101000, Russia, Moscow, Pokrovka st., 22A.
Vasily A. Petrukhin, MD, professor, Director of Moscow Regional Scientific Research Institute of Obstetrics and Gynaecology, Doctor of Honour of Russian Federation. E-mail: petruhin@mail.ru. ORCID: 0000-0002-4368-2203. 101000, Russia, Moscow, Pokrovka st., 22A.
Romella A. Karamyan, medical resident, Moscow Regional Scientific Research Institute of Obstetrics and Gynaecology. E-mail: romikaramyan@mail.ru.
ORCID: 0000-0002-4368-2203.
For citation: Krasnopolsky V.I., Melnikov A.P., Petrukhin V.A., Karamyan R.A., Extraperitoneal cesarean section: the place of the operation in the world and in Russian obstetrics.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 9: 11-17 (in Russian).
https://dx.doi.org/10.18565/aig.2020.9.11-17
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