TITLE:
Prognosis of Misgav-Ladach Caesarean Sections in an African Environment: Case of the Banfora Regional Hospital in Burkina Faso about 110 Cases
AUTHORS:
Ouattara Adama, Yaméogo Relwendé Barnabé, Kaboré Francois Xavier Gueswendé, Kiemtoré Sibraogo, Kain Dantola Paul, Sawadogo Yobi Alexi, Dao Yissou, Ouedraogo Issa, Ouédraogo Charlemagne Marie, Ouédraogo Ali, Millogo/Traoré Francoise, Thieba/Bonané Blandine
KEYWORDS:
Cesarean, Misgav-Ladach, Morbidity, Banfora
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.9,
September
28,
2017
ABSTRACT: Objective: To analyze the caesarean section prognosis aspects according to Misgav-Ladach
versus classical technique in the regional hospital of Banfora. Materials and Methods: This is about a randomized clinical test of 2 groups carried in the regional
hospital in Banfora on a two-month period from 1st October to 30 November 2015.
In the first group, 66 patients had benefited from a caesarean section by the
Misgav-Ladach technique. In the control group, 44 patients had benefited from a
caesarean in the conventional technique. Were included in our sample all
patients having benefited from a cesarean in the study site during the study
period and who had consented to participate in the study. All patients were
followed until the postpartum healing of the surgical wound. All prognostic
elements have been compared. The results were analyzed with Epi Info 3.5.1
software and the significance level was set at 5%. Results: The indications for cesarean section were dominated
by maternal causes in 70 cases (63.6%). The
average duration of the surgical procedure was 27.98 mm for
Misgav-Ladach technique versus 28.27 mm for the
conventional technique (p = 0.49). The evaluation of blood loss by the change
in hemoglobin pre- and post-operative did not find statistically significant differences between the
two techniques (p = 0.6). The evaluation of the number of intraoperative suture
used, was in favor of the technique of Misgav-Ladach (p =
0.007). The evolutionary trend in the intensity of postoperative pain was in
favor of the technique of Misgav-Ladach. The average time of wound healing was 16.33 days for group 1
versus 21, 27 days for group 2 (p = 0.0001). Postoperative morbidity was
greater with the conventional technique in comparison to Misgav-Ladach’s
(p = 0.046). There was no statistically significant differences in length of
hospital stay (p = 0.056). Conclusion: The Misgav-Ladach cesarean
section reduces operative risk. The adoption and diffusion of this technique to
the national level and its effective integration into training curriculas
should contribute to reducing maternal morbidity and mortality of abdominal
delivery.