TITLE:
Midline Supraumbilical Incision as an Option for Morbidly Obese Patients? Case Report
AUTHORS:
Janete Vettorazzi, Gabriela Françoes Rostirolla, Gabrielle Soares Behenck, Fernanda Oliveira Castilhos, Eduardo Vettorazzi-Stuczynski, Edimárlei Gonsales Valério
KEYWORDS:
Obesity, Caesarean Section, Surgical Incision, Abdominal Obesity
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.11,
November
18,
2021
ABSTRACT: Background: Nowadays we observe growing rates of obesity, mainly among women. It has
a great impact on maternal and fetal morbimortality and requires a specific
obstetric approach. Aim: To discuss different approaches to abdominal incision in cesarean section
in obese patients. Case presentation: Patient with morbid obesity submitted to an elective cesarean section due
to fetal macrosomia and who underwent a cesarean section with a supraumbilical
median incision evolving without any postpartum complications. Conclusion: It’s important to evaluate and chose the best
incision in morbidly obese pregnant women aiming to reduce difficulties in fetal
extraction and postoperative complications. Midline supraumbilical incision is
a good choice in these cases, reducing surgical time and postpartum hemorrhage.