COMPARATIVE PERFORMANCE OF THREE ABDOMINAL ENTRY TECHNIQUES IN CESAREAN DELIVERY: PFANNENSTIEL, JOEL–COHEN/MISGAV-LADACH, AND LOWER MIDLINE LAPAROTOMY
DOI:
https://doi.org/10.5281/zenodo.18335668Abstract
Optimizing abdominal entry during cesarean delivery remains a practical priority, particularly for urgent procedures where time-to-delivery, blood loss, and intraoperative safety are critical. Contemporary recommendations increasingly emphasize standardization of technique and the use of evidence-based steps across the abdominal wall and uterine entry, while preserving the surgeon’s ability to individualize the approach for obesity, adhesions, placenta previa/accreta spectrum suspicion, or anticipated hemorrhage. Recent international guidance and evidence syntheses indicate that Joel–Cohen–based entry can reduce operative time and some morbidity outcomes compared with more traditional sharp dissection approaches, although effects may vary by clinical context and patient phenotypes.
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