Caesarean section is the most practiced intervention in obstetrics, and has been carried out for centuries. Dr. Michael Stark, Director of the Misgav Ladach General Hospital in Jerusalem, has perfected a new method to perform caesarean sections, the Misgav Ladach method, which has been proving for a few years to be safer and simpler than those made traditionally and conventionally.
The Misgav Ladach Method, named after the hospital where it was first introduced (in Jerusalem), is currently being used in various medical centers in Switzerland, Sweden, Italy, Germany, the United States, Russia, Ethiopia, Kenya , Tanzania, Zambia, Uganda, India, Pakistan, China and Peru.
Professor Michael Stark, whom I learned for the first time seeing his participation and references to this technique in a recent International Congress on childbirth, is the one who developed and performs this rapid caesarean section.
Advantages of rapid caesarean section over conventional
The Misgav-Ladach technique is characterized as an intervention that involves a considerable reduction in operation time, which passes from about 30 to 60 minutes in conventional caesarean section, about 8 to 15 minutes in cesarean delivery with this method.
The operation is so fast that less anesthesia is also required. In fact, the baby is removed from the mother's womb in less than two minutes.
The hospital cost is also reduced for the reasons we see below. These are some of the advantages of this type of intervention according to Professor Stark:
The benefits of this type of caesarean section, compared to traditional intervention, are multiple; Fewer sutures are used in patients, since visceral and parietal peritoneum sutures are omitted, transoperative bleeding, mother's post-operative pain also decreases and febrile complications do not usually occur. This entails a reduction in the application of analgesics and antibiotics and in terms of the surgical material used, in global terms, it is reduced by approximately 50% in the cost of surgical material.
The mother is also favored by other points to consider in her recovery, such as eating and drinking a few hours after the caesarean section. The return to normal bowel functions is faster, there are fewer scars on the abdominal layers and less bleeding (bleeding).
Details of Misgav Ladach's technique
After the transverse incision in the skin, the adipose tissue is separated and the aponeurosis (tendon in the form of flattened sheet that is mainly in the abdominal region) is opened transversely, in the midline, in an area of about 5 centimeters.
With digital traction, that is, manually with the fingers, the incision is enlarged and the straight abdominal muscles are separated. Another small incision is made in the uterus. The fetus and placenta are then removed. Afterwards, the only thing that they suture is the maternal uterus since the rest of the abdomen layers close and heal without sutures in a natural way, except for the aponeurosis and the skin.
In summary, the Misgav-Ladach technique involves: a transverse incision, blunt dissection, less flat suture, use of less surgical material, start of feeding in the immediate postoperative period, and the woman's ability to walk once After the anesthetic effect, to be discharged even after 6 hours of the procedure.
According to the sources consulted, since 2002 WHO recommended using this technique whenever possible, although I have not found the specific reference on the World Health Organization website.
In 2004 he was born in Berlin the New European Academy of Surgery (New European Surgical Academy, NESA), chaired by Michael Stark, creator of the technique. This non-profit institution aims to research and reassess surgical techniques by eliminating unnecessary steps and standardizing them in a way that is easily applicable, safe and that offers benefits to patients with the least impact on the institution.
The testimonies of different professionals who have carried out this technique seem to give very positive results compared to traditional caesarean section.
Anyway, I think so much is Rapid C-section technique Misgav Ladach Like the one we mentioned about the "natural" caesarean section, which focused on women, they should only be performed in the necessary cases and not increase the number of unnecessary caesarean sections.
