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ST. JOHN'S, NFLD. - When low transverse incisions for cesarean sections need to be converted to a T incision, outcomes are no worse for the mother or the neonate, compared with when a classical vertical incision is performed straight away.
So if there's a chance of doing a low transverse incision, take it.
That was the conclusion of a retrospective study of nearly 20,000 cesarean sections presented by Dr. Leslie Patterson at the annual meeting of the Society of Obstetricians and Gynaecologists of Canada.
Historically when the lower segment has been too small or has had fibroids or adhesions, physicians have avoided trying a low transverse incision for fear that if it had to be converted to a T incision, patients would ultimately do worse than if they had a classical vertical incision initially, explained Dr. Patterson, an ob.gyn. resident at Dalhousie University, Halifax, N.S.
But some patients just may get away with a low transverse incision, and they won't experience any greater degree of morbidity or mortality if they don't, according to the findings of ...
Source: HighBeam Research, Outcomes Good After Converting To a T Incision. (Cesarean Section).