TITLE:
Longitudinal Epigastric Incision for Caesarean Section in a Morbidly Obese Patient in a Low-Resource Setting (Cameroon): A Case Report
AUTHORS:
Florent Ymele Fouelifack, Wilfried Loic Tatsipie, Armand Kamga Talom, Anyimbi Ofeh Mosman, Hortence Fouedjio
KEYWORDS:
Obesity, Caesarean Section, Epigastric Incision
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.8,
August
2,
2021
ABSTRACT: Obesity
is a metabolic condition associated with a
significant morbidity and mortality rate. In the pregnant context, this
risk is even higher because of the contingent of metabolic and haemodynamic complications present in the ante-,
intra- and post-partum periods. In these
people, the recommended delivery method is caesarean section, which is not easy to perform. Our aim
is to explain the particularities and advantages of epigastric incision
in obese women during a caesarean section. The authors report the case of a
patient who was admitted to the maternity ward of the Yaounde Central Hospital
for management of a post-date, and in
whom an elective caesarean section was
indicated with an epigastric approach. The vertical supra umbilical incision should be recommended because it is
subject to fewer complications and reduces the operating time and
hospital stay.