Extraperitoneal cesarean section

With the application of extraperitoneal cesarean section in obstetrics, the operation methods are diversified and the indications for surgery are also relaxed. Extraperitoneal cesarean section was originally used for women with intrauterine infection or potential infection. Due to the difficulty and complexity of cesarean section in the lower uterine segment of the peritoneum, the time required for the operation to be delivered to the fetus is longer. In particular, the peritoneal separation of the bladder reentry is insufficient, which makes the uterine incision not large enough, floating or deeply embedded. The fetal head is prone to complications such as difficulty in removing the fetal head, tearing and bleeding of the uterine incision, and damage to the bladder and ureter. This kind of surgery has not been promoted abroad, but the advantages of extra-peritoneal operation, small postoperative response, faster recovery of intestinal motility, and less abdominal pain are favored by doctors and patients. If you take a transverse incision on the abdominal wall, it is more welcomed by the mother. Through the accumulation of a large amount of clinical practice and clinical data, and the continuous improvement of surgical methods, the side injury of surgery is small and safe. However, the indications and contraindications must be strictly controlled, and the skills of extraperitoneal cesarean section can not be ignored.