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The Misgav Ladach caesarean section 

The Misgav Ladach caesarean section
Chapter:
The Misgav Ladach caesarean section
Author(s):

Michael Stark

and Eric Jauniaux

DOI:
10.1093/med/9780198758563.003.0006
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date: 07 June 2020

The Misgav Ladach procedure for caesarean delivery was developed in the 1990s and has progressively replaced the standard caesarean surgical procedure in many countries around the world. This chapter reviews the Misgav Ladach procedure and compares it with the standard technique. One of the major differences is that the Misgav Ladach procedure uses a higher transverse incision, as proposed by Sidney Joel-Cohen, than the standard technique does. There are only a few randomized controlled trials comparing the Misgav Ladach procedure with Pfannenstiel-based techniques, but a recent meta-analysis has shown that the Misgav Ladach procedure causes less blood loss, requires less operating time and results in less post-procedure fever and pain, time to mobilization, and length of post-operative hospitalization than the other techniques do. In addition, the economic benefits associated with the Misgav Ladach procedure can result in savings for healthcare systems in both developed and developing countries.

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