Comparison between Pfannenstiel Incision and higher transverse Cohen incision, during elective Cesarean section in morbidly obese parturients / (Record no. 83035)

MARC details
000 -LEADER
fixed length control field 03532nam a2200349 a 4500
003 - CONTROL NUMBER IDENTIFIER
control field EG-GiCUC
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250223032844.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 211107s2021 ua dh f m 000 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency EG-GiCUC
Language of cataloging eng
Transcribing agency EG-GiCUC
041 0# - LANGUAGE CODE
Language code of text/sound track or separate title eng
049 ## - LOCAL HOLDINGS (OCLC)
Holding library Deposite
097 ## - Thesis Degree
Thesis Level Ph.D
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number Cai01.11.15.Ph.D.2021.Sh.C
100 0# - MAIN ENTRY--PERSONAL NAME
Personal name Shaza Saad Allah Hussein Saad Allah
245 10 - TITLE STATEMENT
Title Comparison between Pfannenstiel Incision and higher transverse Cohen incision, during elective Cesarean section in morbidly obese parturients /
Statement of responsibility, etc. Shaza Saad Allah Hussein Saad Allah ; Supervised Mohamed Momtaz Mohamed Awad , Ehab Mohamed Soliman , Rasha Mostafa Kamel
246 15 - VARYING FORM OF TITLE
Title proper/short title مقارنة بين شق القيصرية المعتاد و شق كوهين المستعرض العالى للعملية القيصرية فى المرضى الذين يعانون من السمنة المفرطة
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Cairo :
Name of publisher, distributor, etc. Shaza Saad Allah Hussein Saad Allah ,
Date of publication, distribution, etc. 2021
300 ## - PHYSICAL DESCRIPTION
Extent 95 P. :
Other physical details charts , facsimiles ;
Dimensions 25cm
502 ## - DISSERTATION NOTE
Dissertation note Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics
520 ## - SUMMARY, ETC.
Summary, etc. Objective: The aim of this study is to compare between Pfannenstiel incision and a higher transverse incision used to preform cesarean delivery (CD) in obese patients with BMI 35 kg/m2 or more, regarding the maternal morbidity including wound infection, dehiscence, seroma formation, and the need for further management. Material and methods: In this study 100 obese women with BMI of 35kg/m2 or more, pregnant in their third trimester, attending for elective cesarean delivery. Fifty of them underwent CD through a Pfannenstiel incision, and the other 50 patients underwent delivery via a higher transverse suprapannicular incison.The included patients were observed intraoperative and 1 and 6 weeks postoperatively.The primary outcome is to compare composite maternal morbidity (wound complications within 6 weeks including cellulitis, wound abscess, wound separation or dehiscence, hematoma, seroma formation, endometritis).Secondary outcomes include: total operative time from skin incision to fetal delivery, severity of pain and amount of pain medications utilized in the first 48 hours post procedure, hemoglobin drop, and incidence of low transverse uterine incisions (hysterotomy).Results: In our study, we found a significant reduction in the mean time taken for fetal delivery, hemoglobin drop, pain score, and the rate of wound complications 1 week postoperative, but the APGAR score at 5 minutes was also reduced in the suprapannicular group. However, regarding the total operative time, surgical complications, need for NICU, intraoperative complications, need for opioid analgesia and wound complications 6 weeks postoperatively there was no statistically significant difference. Conclusion: Higher incidence of wound complications is associated with the usual Pfannenstiel incision in obese parturients, the use of high transverse skin incisions may reduce the risk of wound complications in this population.A larger study with larger population number is recommended
530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE
Additional physical form available note Issued also as CD
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term Cesarean delivery
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term Obesity
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term Wound infection
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Ehab Mohamed Soliman ,
Relator term
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Mohamed Momtaz Mohamed Awad ,
Relator term
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Rasha Mostafa Kamel ,
Relator term
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://172.23.153.220/th.pdf">http://172.23.153.220/th.pdf</a>
905 ## - LOCAL DATA ELEMENT E, LDE (RLIN)
Cataloger Shimaa
Reviser Cataloger
905 ## - LOCAL DATA ELEMENT E, LDE (RLIN)
Reviser Revisor
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Thesis
Holdings
Source of classification or shelving scheme Not for loan Home library Current library Date acquired Full call number Barcode Date last seen Koha item type Copy number
Dewey Decimal Classification   المكتبة المركزبة الجديدة - جامعة القاهرة قاعة الرسائل الجامعية - الدور الاول 11.02.2024 Cai01.11.15.Ph.D.2021.Sh.C 01010110084681000 22.09.2023 Thesis  
Dewey Decimal Classification   المكتبة المركزبة الجديدة - جامعة القاهرة مخـــزن الرســائل الجـــامعية - البدروم 11.02.2024 Cai01.11.15.Ph.D.2021.Sh.C 01020110084681000 22.09.2023 CD - Rom 84681.CD
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