REPEAT CESAREAN SECTION: CICATRICIAL CHANGES OF THE ANTERIOR ABDOMINAL WALL, INFECTIOUS RISKS, AND OUTCOMES OF SURGICAL MANAGEMENT

Abstract

This monograph focuses on the selection and optimization of the surgical approach for emergency cesarean section, primarily in patients undergoing repeat procedures and presenting with pronounced postoperative cicatricial changes of the anterior abdominal wall. The book substantiates and describes in detail the author’s modification of surgical access, based on wide excision of the previous postoperative scar during cesarean delivery, with a discussion of indications, limitations, and the technical steps of the procedure. Data are presented on complication rates, prevention and treatment strategies, as well as author-developed algorithms aimed at reducing the risk of intraoperative and postoperative complications (based on studies from the last 10 years).

Intended for obstetrician-gynecologists, surgeons, anesthesiologists–intensivists, and other specialists.