Joel Cohen Incision; transverse abdominal incision For Cesarean sections скачать в хорошем качестве

Joel Cohen Incision; transverse abdominal incision For Cesarean sections

Joel-Cohen Incision is a refined surgical technique used primarily for Cesarean sections, offering faster recovery and fewer complications compared to traditional methods like the Pfannenstiel incision. ✂️ What It Is A straight transverse incision made about 3 cm above the Pfannenstiel incision, typically just below the line connecting the anterior superior iliac spines. Introduced by Dr. Joel-Cohen for abdominal hysterectomy, later adapted for obstetric use. 🧬 Surgical Technique Highlights Minimal sharp dissection: Only the central 3 cm of subcutaneous tissue is incised. Blunt dissection: Lateral tissues and fascia are separated manually using fingers. Peritoneum and uterus: Opened bluntly to reduce trauma. Placenta: Delivered spontaneously after the baby. Closure: Often omits peritoneal and subcutaneous suturing, with continuous skin closure. 🌟 Advantages Over Pfannenstiel Feature Joel-Cohen Incision Pfannenstiel Incision Post-op fever 65% reduction Higher incidence Operating time Shorter2 Longer Blood loss Less3 More Pain & analgesia need Reduced3 Greater Hospital stay Shorter3 Longer Tissue trauma Minimal (blunt dissection) More (sharp dissection) 🧠 Why It Works Blunt dissection follows natural tissue planes, sparing nerves and vessels3. Less trauma → fewer adhesions, infections, and faster recovery. #JoelCohenIncision