Проведен сравнительный анализ 205 случаев абдоминальных родов в период с 2015 по
2018 гг., которые были разделены на две группы по типу операции (классическая методика по
M. Stark или модифицированный метод) согласно рандомизированному принципу.
Применение усовершенствованной методики абдоминального родоразрешения может способствовать снижению частоты анемии различной степени тяжести (р<0,005), уменьшению на
50 % использования карбетоцина (р=0,011) и препаратов железа в более отдаленные сроки
послеоперационного периода. Особенности ушивания раны на матке во время кесарева сечения
по разработанной методике допускают уменьшение частоты субинволютивных изменений в полости матки (р=0,015), сокращение использования антибактериальных препаратов, что создает
дополнительный резерв для улучшения течения послеоперационного периода при абдоминальном родоразрешении.
Despite the technical simplicity of a cesarean section, this is a cavitary operation and it belongs to
the category of complex surgical interventions, with possible intra- and postoperative complications.
In emergency operations, complications reach 18.9%, in planned operations — 4.2%. Bleeding
occurs 3–5 times more often. The purulent and septic complications rate is 5–20 times higher than
during normal delivery
Improvement of the caesarean section technique is of undoubted interest and is of great practical
importance, since it can help reduce the frequency of repeated operations and reduce the percent of
complications associated with abdominal delivery.
Aim of the study. To reduce the incidence of postoperative complications by applying a modified
caesarean section technique.
Materials and methods. The study was carried out at the clinical base of the Department of
Obstetrics and Gynecology N 1 ONMedU obstetric department of the Kherson Regional Clinical
Hospital. A comparative analysis of 205 cases of abdominal birth in the period from 2015 to
2018 was carried out, which were divided into two groups according to the type of operation
(classical method according to M. Stark or a modified method) according to a randomized principle.
Results and conclusions. The use of an improved abdominal delivery technique can help to reduce
the frequency of anemia of varying severity (p<0.005), a 50% reduction in the use of carbetocin
(p=0.011) and iron preparations in the longer term postoperative period. The features of suturing a
wound on the uterus during CS according to the developed method allows reducing the frequency of
sub-involutive changes in the uterine cavity (p=0.015), reducing the use of antibacterial drugs, which
creates an additional reserve for improving the course of the postoperative period during abdominal
delivery.
