Caesarea tecnica joel cohen warren
The median estimated intra-operative blood loss was 250 mL in the modified Joel-Cohen group and 400 mL in the Pfannenstiel group (P= 0.026). The proportion of women with 2 300 mL was 16/36 in the modified Joel-Cohen group vs 28/36 in the Pfannenstiel group (OR 0.229,95% CI 0.082-0.637
Figure 3. The skin is fully incised. In the Joel-Cohen technique, the skin incision is placed 3 cm above the original Pfannenstiel incision, the subcutaneous tissue is incised only in the three most medial centimetres, and the lateral tissue is separated manually, before the fascia is divided bluntly with both index fingers inserted in the deep fascial space created by the knife.
The modified Joel-Cohen incision is claimed to be associated with some immediate benefits for women undergoing cesarean delivery in comparison to the Pfannenstiel incision. Postoperative morbidity is lower following this incision as indicated by fever, postoperative pain and analgesic requirements. Although measurements are subjective
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