Questions and Answers
What is the abdominal incision made vertically between the naval and pubic bone called?
What are the disadvantages of the vertical (midline) abdominal incision?
Higher incidence of blood loss, infection, and uterine rupture in future pregnancies.
Which abdominal incision is most commonly used and associated with fewer postoperative infections?
The classical uterine incision is commonly performed and has a low risk of uterine rupture.
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When is VBAC not recommended?
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What are the advantages of the lower segment transverse uterine incision?
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Why is the lower segment vertical incision not commonly performed?
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Study Notes
Abdominal Incision - Vertical (midline)
- Incision made vertically between the navel and pubic bone.
- Facilitates quick delivery in emergency situations.
- Associated with higher risks of blood loss and infections.
- Increases the likelihood of uterine rupture in future pregnancies.
Abdominal Incision - Transverse (bikini)
- Horizontally positioned above the pubic bone.
- Most commonly utilized abdominal incision for cesarean sections.
- Linked to reduced blood loss and fewer postoperative infections.
- Lowers the risk of uterine rupture in subsequent pregnancies.
Uterine Incision - Classical
- Vertical incision made in the upper part of the uterus.
- Rarely performed, typically used for placenta previa or when the fetus is in a transverse position.
- VBAC (vaginal birth after cesarean) is not recommended post-classic incision.
- High risk of uterine rupture associated with this incision type.
Uterine Incision - Lower Segment Transverse
- Offers less blood loss compared to classical incisions.
- Encourages future vaginal births with lower risk of uterine rupture.
- Surgical procedure takes longer than that of a classical incision.
Uterine Incision - Lower Segment Vertical
- Rarely carried out, used when the lower uterus lacks adequate development or thinning—common in premature births.
- Incision enters into the muscular section of the lower uterus.
- Loses the benefits associated with lower segment transverse incisions.
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Description
This quiz covers the various types of incisions used in cesarean sections, specifically focusing on the vertical (midline) and transverse (bikini) incisions. Participants will learn about the advantages and disadvantages associated with each incision type. Ideal for medical students or healthcare professionals looking to deepen their understanding of surgical procedures.
