Midline supraumbilical incision as an option for morbidly obese patients? : case report

• Autor(a) principal: Vettorazzi, Janete
• Data de Publicação: 2021
• Outros Autores: Rostirolla, Gabriela Françoes, Behenck, Gabrielle, Castilhos, Fernanda Oliveira, Stuczynski, Eduardo Vettorazzi, Valério, Edimárlei Gonsales
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/233351
• topic: Mulheres; Gravidez; Obesidade abdominal; Cesárea; Ferida cirúrgica; Relatos de casos; Obesity; Caesarean section; Surgical incision; Abdominal obesity

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.