Laparotomy in supine position by low transverse incision
revealed well-developed uterus and ovary.
7% for women with a prior low transverse incision
For women undergoing cesarean delivery via low transverse incision
, if staples are removed on day 3, the incidence of wound separation is higher--as both this study and earlier studies have demonstrated--so suture may be preferred, if, however, staples are removed later than day 3, data are insufficient to compare wound morbidity on the basis of skin closure techniques.
A low transverse incision
is the preferred technique for abdominal hysterectomy.
Physicians now know that the classical, low vertical and "inverted T" incisions have a higher rate of rupture than the low transverse incision
now in general use.
The American College of Obstetricians and Gynecologists (ACOG) now recommends that most women with one previous cesarean delivery and with a low transverse incision
be counseled about VBAC and offered a trial of labor.
So if there's a chance of doing a low transverse incision
, take it.
5% and 1% in women who have a prior low vertical or low transverse incision
ACOG states that a woman with two or more previous cesareans deliveries with low transverse incisions
who wishes to plan a VBAC should not be discouraged from doing so in the absence of contraindications.
Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions
Whenever possible, and especially when the woman plans to have children, we make a transverse incision, as cesarean-section data of vertical versus low transverse incisions
demonstrate that the strongest closure is obtained from transverse incisions.
Low transverse incisions
(Pfannenstiel, Maylard, Cherney) have a far lower rate of dehiscence than do midline incisions.