TITLE:
Omission of the Bladder Flap Suggests Short Term and Long Term Benefits
AUTHORS:
Mona Omar, Manal A. Farahat
KEYWORDS:
Cesarean Section, Bladder Flap, Adhesion, Operative Time
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.5,
May
8,
2019
ABSTRACT: Background: Cesarean section is now the most common major surgical procedure
performed on women worldwide. With the increasing numbers of cesarean sections,
there is the need to utilize evidence based techniques to optimize outcomes and
minimize complications. We hypothesize that omission of the bladder flap in
both primary and repeat cesarean sections will be associated with shorter
operating time without a significant increase in intraoperative and
postoperative complications. Methods: 550 patients were enrolled in the
study. They were randomly allocated in the 2 groups to evaluate the effects of
cancelling the bladder dissection. Results: Significant reduction of the
total operating time (p =
0.01), skin to delivery time (p = 0.02) and micro-hematuria (p = 0.01) in group
with bladder omission. Long term result: Including more bladder adhesion and fibrosis in the cases with bladder dissection. Conclusions: Omission of the
bladder dissection achieved short-term advantages as regards reduction
of operating time, incision-delivery duration and decreased blood loss as well
as long-term effects include different in the bladder adhesion.