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COMPARISON BETWEEN COHEN'S INCISION AND PFANNENSTIEL'S INCISION IN CESAREAN SECTION ACCORDING TO BENEFITS AND COMPLICATIONS
*Dabdoub Tariq, Naisa Thawra and Yousef Ahmed
Background: Cesarean Section is delivery of fetus through incision in uterus after laparotomy. There are many types for abdominal incision during cesarean section such as Cohen incision and Pfannenstiel incision. Cohen's incision is straight line made under the line between anterior superior iliac spine by 3 cm. Pfannenstiel incision is curvilinear incision made above pubic symphysis by 2-3 cm. Objective: Main objective: This study was designed to compare the Joel-Cohen and Pfannenstiel incisions during cesarean deliveries according to operating time and intraoperative blood loss. Second objective: Evaluate effect of Cohen incision and Pfannenstiel incision on maternal recovery. Methods: One hundred pregnant women scheduled for delivery by cesarean section were randomised to either Cohen incision (n=50) or Pfannenstiel incision (=50). Design: Randomised controlled trial. Results: Median operative time was shorter in Cohen incision than Pfannenstiel incision and median intraoperative blood loss was less in Cohen incision than Pfannenstiel incision (p<0.005). Postoperative hospital stay and pain degree were similar between the two techniques. Conclusion: We concluded that Cohen incision in cesarean section reduce operating time and intraoperative blood loss compared to Pfannenstiel incision .[Full Text Article]