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A lower (uterine) segment caesarean section (LSCS) is the most commonly used type of caesarean section. [1] Most commonly, a baby is delivered by making a transverse incision in the lower uterine segment, above the attachment of the urinary bladder to the uterus.
A midline incision may be preferred as well when the fetus lies transversely across the patient's uterus or if the placenta lies in the area where the low transverse incision is made. In practice, however, the midline incision is rarely used. [3] Other hysterotomy incisions include a high transverse incision and a fundal incision. [2]
If the previous caesarean(s) involved a low transverse incision there is less risk of uterine rupture than if there was a low vertical incision, classical incision, T-shaped, inverted T-shaped, or J-shaped incision. A previous successful vaginal delivery (before or after the caesarean section) increases the chances of a successful VBAC.
In a vaginal hysterectomy, the uterus is removed through an incision made at the top of your vagina. In a laparoscopic hysterectomy, a laparoscope (thin tube with a small camera) is inserted into ...
Suturing of the uterus after extraction Closed incision for low transverse abdominal incision after stapling has been completed. There are several steps that can be taken during abdominal or pelvic surgery to minimize postoperative complications, such as the formation of adhesions. Such techniques and principles may include:
A Pfannenstiel incision for a caesarian section closed with surgical staples.The superior aspect of mons pubis and pubic hair are seen at bottom of the image.. A Pfannenstiel incision / ˈ f ɑː n ɪ n ʃ t iː l /, Kerr incision, Pfannenstiel-Kerr incision [1] or pubic incision is a type of abdominal surgical incision that allows access to the abdomen.
Pfannenstiel incision, Kerr incision, or Pfannenstiel-Kerr [2] incision is the lower transverse incision made in the lower segment of uterus below the umbilicus and just above the pubic symphysis. [3] [4] It is commonly used in Caesarian section [5] and for abdominal hysterectomy for benign disease.
In approximately 20-40% of TOLACs, a caesarean is performed. TOLAC is recommended when a patient has had one previous caesarean section using a low transverse uterine incision. The main risks of TOLAC are emergency caesarean section and uterine rupture. [1] [2]