What kind of incision is good for caesarean section and the advantages of transverse incision;
1, beautiful, can be covered with underwear.
2, the pain is light, you can get out of bed earlier. Because of the low position.
3, in line with skin texture, easier to heal.
Disadvantages of transverse incision:
1, big damage. Because the skin, subcutaneous tissue and anterior sheath intersect, it is necessary to peel off the entire anterior sheath from rectus abdominis, which will cause great damage and more bleeding.
2. It is easy to damage the superficial inferior epigastric vein and cutaneous nerve. Some people will feel numb in their abdominal skin half a year after operation.
3. It is easier to form pelvic adhesion. Because the incision of peritoneum and uterus are transverse and close to each other.
4. If the surgeon recovers the bad tissue relationship during suture, it is easy to have long-term pain after operation.
5. The second abdominal planing has more injuries and more bleeding, which increases the chances of side injuries and bleeding.
Advantages of vertical incision:
1, which accords with the anatomical relationship of the abdomen. It is a vertical incision from the skin to the peritoneum, which is simple, rapid, less invasive and less bleeding.
2, postoperative recovery is good, and abdominal numbness and abdominal pain are not easy to occur.
3, it is not easy to form pelvic adhesion.
4. The second operation is easier, with less bleeding and less chance of side injury.
Disadvantages of vertical incision:
1, bikinis and low-rise pants are not allowed.
2. The postoperative wound pain was slightly stronger, but it was better the next day.
It is immoral for obstetricians to make a transverse incision for patients without telling them the advantages and disadvantages of the two incisions. If the belly is full of stretch marks, no matter what kind of incision is not beautiful. But if you want to have multiple children, it is better to choose a vertical incision.
Whether the caesarean section incision is low or high, the height of the transverse incision is about 3 or 4 cm above the pubic symphysis, and the incision length is about 10- 15 cm. The skin, subcutaneous tissue and fascia are all transected, but when they reach the rectus abdominis, they are cut longitudinally at the midline and enter the abdominal cavity.
Crosscutting is a surgical method initiated by Israelis, which is mainly beneficial to extubation early after operation, and the pressure on incision due to gravity is less. Regardless of transverse cutting or vertical cutting, it is emphasized that the second pregnancy must be three years later, otherwise uterine rupture will easily occur.
Although transection is a common method used by doctors, and the scar left by surgery is not obvious, under certain circumstances, doctors will choose vertical incision to save the lives of mothers and babies, so the vertical incision or transection of wounds is generally determined by the doctor's own experience or the personal preference of pregnant women.