What's the difference between transverse cutting and vertical cutting by caesarean section? Many expectant mothers choose caesarean section because they are afraid of pain. Cesarean section can also be divided into transverse section and vertical section. There are also many differences between the two. I collected and sorted out the relevant information about the difference between transverse cutting and vertical cutting of caesarean section. Let's have a look.
What's the difference between transverse cutting and vertical cutting by caesarean section? What's the difference between transverse cutting and vertical cutting by caesarean section?
Crosscutting, as the name implies, is to cut a knife horizontally in the pregnant woman's stomach. Generally, transverse cutting will cut a knife edge of about 250px above the pubic bone, cross the skin, subcutaneous tissue and fascia from outside to inside, and finally take the baby out of the uterus.
Longitudinal incision, usually from below the navel directly to above the pubic bone, forms a midline with a length of about 250px, and finally takes out the baby.
Some people will say that cross-cutting and vertical cutting are just different knife edges. Anyway, you have to cut from the outside to the innermost. Aren't they all cut anyway? What is the choice? Actually, it's not. Transverse cutting and vertical cutting have their own advantages and disadvantages, and pregnant women can choose according to their own wishes and needs.
Advantages and disadvantages of crosscutting
1, Advantages: Cross cutting is relatively more beautiful than vertical cutting, and if you choose cross cutting, there will be less bleeding and it is relatively safe. Because the incision is not in the strongest labor force range of the uterus, it is rare for the wound to rupture. If you want to have a second child, it is ok.
2. Disadvantages: intrauterine adhesions are prone to occur during crosscutting, which is not conducive to Ma Bao's physical recovery, and the baby will come out slowly during crosscutting, which is not conducive to pregnancy again.
Advantages and disadvantages of vertical cutting
1, Advantages: If pregnant women want to have more children, they can choose vertical cutting, and the baby will come out relatively quickly, because the baby's body is vertical in the correct fetal position, so it will reduce the difficulty of the fetus coming out. If the parturient cuts vertically, the recovery will be faster.
2. Disadvantages: The vertical trimming is beautiful and there is no crosscutting. Although the wound recovers quickly, the probability of rupture is relatively high. If the mother is relatively obese, it is best not to choose vertical cutting.
What's the difference between transverse cutting and vertical cutting by caesarean section? 2 the benefits of caesarean section crosscutting.
The height of the transverse wound is about 3 or 4 cm above the pubic symphysis, and the length of the wound is between 10 and 15 cm. Among them, the skin, subcutaneous tissue and fascia are all transected, and the rectus abdominis is cut vertically in the midline and enters the abdominal cavity, which can reduce peritonitis or abdominal adhesion. Moreover, the muscle layer here is thin, the bleeding is less, and the incision is not within the strong contraction range of uterine delivery, so the chance of wound rupture is less, which does not affect the beauty of the parturient, which is why many parturients choose transverse cutting.
Benefits of vertical incision in caesarean section
The vertical incision wound is between navel and pubic symphysis, and the length of the wound is about 15 cm. The location of the incision is advantageous. Abdominal wall muscle composed of rectus abdominis, oblique muscle outside abdomen and oblique muscle inside abdomen. It is the most in line with human anatomy, with few complications and almost no damage to muscles. During the operation, you only need to open a longitudinal suture to enter the abdominal cavity. In an emergency, the method of vertical incision can deliver the fetus faster.
Shortcomings of longitudinal and transverse cutting of caesarean section
Transverse incision also has the defect of longitudinal incision. The transverse incision operation takes a long time and requires high anesthesia. Moreover, due to the limited length of the transverse incision, it is not convenient for doctors to observe the baby's situation.
However, the scar of the longitudinal incision is not beautiful, leaving an obvious scar on the stomach. Moreover, after delivery, in the process of postpartum recovery, pregnant women will feel more pain when they get up in bed, and the wound of longitudinal incision will not heal well, which is more likely to appear than that of transverse incision, especially for pregnant women with thick abdominal wall, which may cause fat liquefaction or infection.