Author(s)

Janete Vettorazzi^1,2,3*, Gabriela Françoes Rostirolla^1,4, Gabrielle Soares Behenck³, Fernanda Oliveira Castilhos^1,4, Eduardo Vettorazzi-Stuczynski⁴, Edimárlei Gonsales Valério^1,2,3

¹Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brasil.
²Department of Gynecology and Obstetrics, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande do Sul, Porto Alegre-Rio Grande do Sul (RS), Brasil.
³Service of Obstetrics and Gynecology, Hospital de Clínicas de Porto Alegre, Porto Alegre/RS, Brasil.
⁴Hospital Geral de Caxias do Sul e Faculdade de Medicina da Universidade de Caxias do SUl, Caxias do Sul/RS, Brasil.

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.

Obesity, Caesarean Section, Surgical Incision, Abdominal Obesity

Vettorazzi, J. , Rostirolla, G. , Behenck, G. , Castilhos, F. , Vettorazzi-Stuczynski, E. and Valério, E. (2021) Midline Supraumbilical Incision as an Option for Morbidly Obese Patients? Case Report. Open Journal of Obstetrics and Gynecology, 11, 1517-1523. doi: 10.4236/ojog.2021.1111143.