Beneficios de la técnica de Joel Cohen modificada comparada con Pfannenstiel - Kerr en primigestas, Hospital Vicente Corral Moscoso, Cuenca 2012

Abstract

Background: Caesarean section is one of the procedures most commonly performed obstetric both prosperous countries as low-income, the emergency are higher than planned and are often made when upper turn foul and had to be performed by trainees in a limited time and in hospitals with limited financial resources, it is necessary to BAT according to the highest level of evidence.

Objective: To demonstrate the benefits of Joel Cohen modified technique compared to the classic Pfannenstiel-Kerr in primiparous Vicente Corral Moscoso Hospital from April to December 2012.

Methodology: This was a randomized controlled trial, using the modified technique of Joel Cohen for caesarean section compared with conventional Pfannenstiel-Kerr primiparous patients who attended the Vicente Corral Moscoso Hospital, Cuenca Ecuador, in the period from April to November, 2012. The sample consisted of 109 patients in the intervention group and 109 to the control group, with a total of 218 patients.

Results: We found significantly lower in the study group compared to control group (p <0.001) in terms of operative time, duration of fetal extraction, bleeding and postoperative pain.

Conclusions: Joel Cohen cesarean has benefits in terms of shorter operative time, duration of fetal extraction, trans-surgical bleeding and postoperative pain compared to the classic Pfannenstiel cesarean.

KEYWORDS: CESAREAN, JOEL COHEN TECHNIQUE, PFANNENSTIEL TECHNIQUE, PRIMIPAROUS, VICENTE CORRAL MOSCOSO HOSPITAL.