TECHNICAL NOTES   

Minerva Ginecologica 1999 May;51(5):203-6

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Stark’s caesarian section. Advantages compared to traditional caesarian section

Corosu R., Roma B., Vizzaccaro F., Franchi M.

Background and aim. The increased incidence of caesarian section has led, over the past few years, to the revision of surgical methods in order to reduce fetus extraction time and the total costs of surgery, without detracting from cosmetic advantages. Stark devised a surgical technique for this purpose which aims to reduce operating trauma and suration of surgery and to ensure a faster recovery and greater well being.
Methods. We performed a retrospective study in all patients undergoing caesarian section using Stark's technique and we evaluated their postoperative progress based on body temperature and any complications involving the suture (infections, hematoma, adhesions, pain). The results were compared to those obtained by other authors using traditional caesarian section.
Results. It was found that patients undergoing traditional caesarian section showed an incidence of wound infection which was higher than that observed in the Stark group (8.75%). Likewise, in relation to the onset of hypothermia, only 3 cases (3.75%) were observed in this study.
Conclusions. Reduced short- and long-term maternal morbidity was obtained using this technique, together with a lower incidence of febrile morbidity and wound infection, less pain and a decreased risk of visceral adhesion.