Midline Supraumbilical Incision as an Option for Morbidly Obese Patients? Case Report

作     者：Janete Vettorazzi Gabriela Françoes Rostirolla Gabrielle Soares Behenck Fernanda Oliveira Castilhos Eduardo Vettorazzi-Stuczynski Edimárlei Gonsales Valério Janete Vettorazzi;Gabriela Françoes Rostirolla;Gabrielle Soares Behenck;Fernanda Oliveira Castilhos;Eduardo Vettorazzi-Stuczynski;Edimárlei Gonsales Valério

作者机构：Postgraduate Program in Health Sciences: Gynecology and Obstetrics Universidade Federal do Rio Grande do Sul (UFRGS) Porto Alegre Brasil Department of Gynecology and Obstetrics Faculdade de Medicina (FAMED) Universidade Federal do Rio Grande do Sul Porto Alegre-Rio Grande do Sul (RS) Brasil Service of Obstetrics and Gynecology Hospital de Clínicas de Porto Alegre Porto Alegre/RS Brasil Hospital Geral de Caxias do Sul e Faculdade de Medicina da Universidade de Caxias do SUl Caxias do Sul/RS Brasil 

出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)

年 卷 期：2021年第11卷第11期

页      面：1517-1523页

学科分类：07[理学] 0701[理学-数学] 070101[理学-基础数学] 

主　　题：Obesity Caesarean Section Surgical Incision Abdominal Obesity 

摘      要：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.