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Cunningham, F.G. and Williams, J.W. (2010) Williams Obstetrics. In: Cunningham, F.G., Leveno, K.J., Bloom, S.L., Hauth, J.C., Rouse, D. and Spong, C., Eds., Cesarean Delivery and Peripartum Hysterectomy, 23rd Edition, McGraw-Hill, New York, 544-564.

has been cited by the following article:

• TITLE: Omission of the Bladder Flap Suggests Short Term and Long Term Benefits

  AUTHORS: Mona Omar, Manal A. Farahat

  KEYWORDS: Cesarean Section, Bladder Flap, Adhesion, Operative Time

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.9 No.5, May 8, 2019

  ABSTRACT: Background: Cesarean section is now the most common major surgical procedure performed on women worldwide. With the increasing numbers of cesarean sections, there is the need to utilize evidence based techniques to optimize outcomes and minimize complications. We hypothesize that omission of the bladder flap in both primary and repeat cesarean sections will be associated with shorter operating time without a significant increase in intraoperative and postoperative complications. Methods: 550 patients were enrolled in the study. They were randomly allocated in the 2 groups to evaluate the effects of cancelling the bladder dissection. Results: Significant reduction of the total operating time (p = 0.01), skin to delivery time (p = 0.02) and micro-hematuria (p = 0.01) in group with bladder omission. Long term result: Including more bladder adhesion and fibrosis in the cases with bladder dissection. Conclusions: Omission of the bladder dissection achieved short-term advantages as regards reduction of operating time, incision-delivery duration and decreased blood loss as well as long-term effects include different in the bladder adhesion.