Scopus Eşleşmesi Bulundu
8
Atıf
79
Cilt
813-817
Sayfa
Scopus Yazarları: Abdulaziz Gul, Y. Simsek, Serdar Uğraş, T. Gul
Özet
Subject. This study was designed to investigate whether the non-closure of the layers of the uterus during low transverse cesarean section would result in healing and have advantage on closure. Material and method. Thirty pregnant ewes randomly divided into two groups. Each group included 15 ewes. Each ewe was anesthetized at para-vertebral region with the injection of 20 ml Prilocine 2%. Following left transverse abdominal incision, a transverse incision was made on the uterus and lambs were delivered. In the first group, uterine incision line was left open. In the second group, uterine incision line was sutured with no. 1 Chromic catgut by Schimiden technique. In both groups, all layers of abdominal wall except skin were sutured as en-bloc with Vicryl® no. 2, by continuous suture technique. Skin was sutured with no. 00 silk interrupted sutures. The ewes were slaughtered four months after cesarean section. A coworker was asked to open the abdominal cavities, and score the intra-abdominal adhesions. Tissues taken from incision line of each uterus were fixed in 10% neutral buffered-formalin and were embedded in paraffin-block. Sections were cut and stained with hematoxylin-eosin. A pathologist, who knew nothing about the study, evaluated all sections, and reported the findings. Student's t test was used for comparison of mean ewe age, gestational age, and mean operation time of the two groups. Z test was used for comparing the ratio of the two groups by means of histopathological findings. Results. No cervical dilatation and delivery of the placenta were seen during the four week follow up period. The average operating time was significantly less for the non-closure group (48.07±3.83 minutes) than for the closure group (62.53±6.57 minutes; p=0.001). The ranges of myometrial necrosis (100% versus 13.3%; p=0.001) and endometriosis (53.3% versus 00.0%; p=0.001) were significantly higher for closure group than for non-closure group. Conclusion. It was found that non-closure layers of the uterus along low transverse cesarean incision proves to have no adverse effect on immediate and late postoperative period in ewes. Our data showed that non-closure of all layers of the uterus results in significantly less muscular necrosis and endometriosis than closure group. We suggest that lower uterine incision can be left unclosed or, at least, simple closure can be preferable instead of vigorous locking technique.
Anahtar Kelimeler (Scopus)
Closure
Non-closure
Sheep
Cesarean incision
Anahtar Kelimeler
Closure
Non-closure
Sheep
Cesarean incision
Makale Bilgileri
Dergi
Acta Obstetricia et Gynecologica Scandinavica
ISSN
00016349
Yıl
2000
/ 10. ay
Cilt / Sayı
79
/ 10
Sayfalar
813 – 817
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI
Yayın Dili
İngilizce
Kapsam
Uluslararası
Toplam Yazar
4 kişi
Erişim Türü
Elektronik
Erişim Linki
Makaleye Git
Alan
Sağlık Bilimleri Temel Alanı-
Tıbbi Patoloji
YÖKSİS Yazar Kaydı
Yazar Adı
GÜL ABDULAZİZ,şimşek y,UĞRAŞ NEVZAT SERDAR,GÜL TALİP
YÖKSİS ID
1815208
Hızlı Erişim
Metrikler
Scopus Atıf
8
Yazar Sayısı
4