Obesity
is a metabolic condition associated with a
significant morbidity and mortality rate. In the pregnant context, this
risk is even higher because of the contingent of metabolic and haemodynamic complications present in the ante-,
intra- and post-partum periods. In these
people, the recommended delivery method is caesarean section, which is not easy to perform. Our aim
is to explain the particularities and advantages of epigastric incision
in obese women during a caesarean section. The authors report the case of a
patient who was admitted to the maternity ward of the Yaounde Central Hospital
for management of a post-date, and in
whom an elective caesarean section was
indicated with an epigastric approach. The vertical supra umbilical incision should be recommended because it is
subject to fewer complications andreduces the operating time and
hospital stay.
References
[1]
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[2]
Taylor, C.R., Dominguez, J.E. and Habib, A.S. (2019) Obesity and Obstetric Anesthesia: Current Insights. Local and Regional Anesthesia, 12, 111-124.
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Marrs, C.C., Moussa, H.N., Sibai, B.M. and Blackwell, S.C. (2014) The Relationship between Primary Cesarean Delivery Skin Incision Type and Wound Complications in Women with Morbid Obesity. American Journal of Obstetrics & Gynecology, 210, 319. https://doi.org/10.1016/j.ajog.2014.01.018
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Mashak, B., Sadati, L., Nosrati, S., Frouzesh, R. and Torkmandy, H. (2017) Evaluation of Two Techniques for Transverse Exposure in Obese Patients Undergoing Cesarean Section: A Comparative Study. Journal of Clinical and Basic Research, 1, 29-35.
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Wall, P.D., Deucy, E.E., Glantz, J.C. and Pressman, E.K. (2003) Vertical Skin Incisions and Wound Complications in the Obese Parturient. Obstetrics & Gynecology, 102, 952-956. https://doi.org/10.1016/S0029-7844(03)00861-5
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